Individual provider Active NPI

Catherine Suzanne Bieksha, MS, PA-C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1417000266
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1311 Issued in MA
Practice address
8 Ashburton PL
Suffolk University
Boston, MA 02108-2701
Phone
(617) 573-8260
Fax
(617) 305-1745
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1311 MA Primary

Addresses

Primary practice location

8 Ashburton PL
Suffolk University
Boston, MA 02108-2701

Mailing address

26 Charles Rd
Winchester, MA 01890-1113
Phone (781) 729-1145

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
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
1311MAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical Associates of New Jersey PA PastSince May 10, 2020 Accepting new patients
Suffolk University Health and Wellness Services Office Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417000266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CHARLES RD",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901113",
            "telephone_number": "781-729-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ASHBURTON PL",
            "address_2": "SUFFOLK UNIVERSITY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082701",
            "telephone_number": "617-573-8260",
            "fax_number": "617-305-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEKSHA",
        "first_name": "CATHERINE",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.