Active NPI
Amy L. Klagges, P.A.
- Physician Assistant
- Boston, MA
National Provider Identifier
1609888395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1734
- Practice address
- Brigham and Women'S Hospital
75 Francis Street
Boston, MA 02115 - Phone
- (617) 732-6660
- NPI assigned
- Aug 12, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1734 | MA | Primary |
Addresses
Primary practice location
Brigham and Women'S Hospital
75 Francis Street
Boston, MA 02115
Mailing address
435 Main Street
Unit #3
Charlestown, MA 02129
Phone (617) 732-6660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1062 | NH | MD | Physical Therapy Assistant |
| 1734 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC D/B/a Urgent Care at Bedford Medical Park | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| Compass Medical PC | Past | Accepting new patients |
Locations
5 Washington Pl
Ste 1B
Bedford, NH 03110
Phone (603) 314-4567
5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Bedford, NH
- NPI 1972559904
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
- Urgent Care Clinic/Center
- Bedford, NH
- NPI 1134410319
-
- Family Medicine Physician
- So Weymouth, MA
- NPI 1356462964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609888395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 MAIN STREET",
"address_2": "UNIT #3",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "02129",
"telephone_number": "617-732-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRIGHAM AND WOMEN'S HOSPITAL",
"address_2": "75 FRANCIS STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAGGES",
"first_name": "AMY",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1734",
"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 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.