Karen Dwyer, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA20030049 Issued in NM

Practice address

883 Lead Ave SE
Ste a
Albuquerque, NM 87102-3644

Phone

(505) 247-8820

Fax

(505) 246-9421

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Women'S Cancer and Surgical Care, PC 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Women'S Cancer and Surgical Care PC

  • Gynecologic Oncology Physician
  • Albuquerque, NM
  • NPI 1871728840

  NM

  Medicare reassignment Care Compare group
• Albuquerque Dermatology Associates, PA

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1821045329
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1336191964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 LEAD AVE SE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023644",
            "telephone_number": "505-247-8820",
            "fax_number": "505-246-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 LEAD AVE SE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023644",
            "telephone_number": "505-247-8820",
            "fax_number": "505-246-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "KAREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA20030049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59535318",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chante Duvall, RN
• Jennifer Duvall
• Lauren E Dvorscak
• Heather Dwiggens
• Beth C. Dwyer, MS, CCC-SLP
• Kristin Dwyer, PA-C
• Diana Dy, MD
• Dyb
• Terryn Dyche, OT
• Jeremiah M Dye, DDS

• All providers in Albuquerque, NM
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.