Sara Jeanne McDole, PA-C

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

PA01233 Issued in RI

Practice address

234 Maple Ave
Barrington, RI 02806-3406

Phone

(401) 247-1644

Fax

(401) 247-4961

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Bay Pediatric & Adolescent Medicine Associates Inc

  • Pediatrics Physician
  • Barrington, RI
  • NPI 1760600266
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1306462502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CENTRAL ST",
            "city": "HARRISVILLE",
            "state": "RI",
            "postal_code": "028301536",
            "telephone_number": "401-263-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MAPLE AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063406",
            "telephone_number": "401-247-1644",
            "fax_number": "401-247-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOLE",
        "first_name": "SARA",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "RI",
            "license": "PA01233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Grace Matrone
• Maxi Drug South LP
• Jamie Michelle Maymon, OTR/L
• Marann M McCann, P.T.
• Liza K McConnell, D. AC.
• M E Carolyn McDonough, LICSW
• Timothy Joseph McElroy, RN
• Allison McGrath
• Elizabeth Ellen McGrath, RNP
• Karla Rose McGuy, RN

• Pediatric Adolescent Medicine Physician in Barrington, RI
• Providers in Barrington, RI by specialty
• Pediatric Adolescent Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.