Kathryn Detore Oswalt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2633 Issued in AL

Practice address

4960 Rice Mine Rd NE Ste 40
Tuscaloosa, AL 35406-3136

Phone

(205) 759-1519

Fax

(205) 750-8612

NPI assigned

Apr 21, 2025

Last updated

Jan 17, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AL

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert J Bentley LLCGroup PAC ID 5799054904, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kato@dermcareal.emadirect.md

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

• Robert J. Bentley LLC

  dba Dermatology Care of Alabama

  • Dermatology Physician
  • Tuscaloosa, AL
  • NPI 1366970253
  Medicare reassignment Care Compare group NPD
• Robert J. Bentley LLC

  • Dermatology Physician
  • Tuscaloosa, AL
  • NPI 1790338994
  NPD

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1407643760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 RICE MINE RD NE STE 40",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063136",
            "telephone_number": "205-759-1519",
            "fax_number": "205-750-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 RICE MINE RD NE STE 40",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063136",
            "telephone_number": "205-759-1519",
            "fax_number": "205-750-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALT",
        "first_name": "KATHRYN",
        "middle_name": "DETORE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ma Desiree Osano, PT
• Kimberly Smith Osborn, RPH
• Stefan Osborn, MD
• Robert C Osburne, MD
• Joseph Reginald Osmore, RPH
• Arturo Otero, M.D.
• Eric Ott, DC
• Kyle Otte
• Frederick S Owens III, PHARMD
• Latoya Teneka Owens, MSW

• Physician Assistant in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.