Active NPI
Kimberly Dowling, PA-C
- Surgical Physician Assistant
- Peabody, MA
National Provider Identifier
1386622850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1096
- Practice address
- 1 Orthopedics Dr
2ND Floor
Peabody, MA 01960-1668 - Phone
- (978) 818-6350
- Fax
- (978) 818-6355
- NPI assigned
- Jan 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1096 | MA | Primary |
Addresses
Primary practice location
1 Orthopedics Dr
2ND Floor
Peabody, MA 01960-1668
Mailing address
1 Orthopedics Dr
2ND Floor
Peabody, MA 01960-1668
Phone (978) 818-6350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1386622850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ORTHOPEDICS DR",
"address_2": "2ND FLOOR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601668",
"telephone_number": "978-818-6350",
"fax_number": "978-818-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ORTHOPEDICS DR",
"address_2": "2ND FLOOR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601668",
"telephone_number": "978-818-6350",
"fax_number": "978-818-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWLING",
"first_name": "KIMBERLY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MA",
"license": "1096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.