Kids Dr. PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

049953 Issued in MA

Legal business name

KIDS DR. PC

Practice address

12 Main St
North Andover, MA 01845-2410

Phone

(978) 682-3300

Fax

(978) 682-3363

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ann R McGravey-Riccio, MD

Title

Pediatrician

Phone

(978) 682-3300

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Johnson

  • Pediatric Nurse Practitioner
  • North Andover, MA
  • NPI 1942424007
  NPD (past)
• Tara Mahon McQuaid, CPNP

  • Primary Care Nurse Practitioner
  • Boston, MA
  • NPI 1780718429

  Pediatrics

  NPD (past)
• Ann R McGravey, M.D.

  • Pediatric Adolescent Medicine Physician
  • North Andover, MA
  • NPI 1164517538
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1649479684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAIN ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452410",
            "telephone_number": "978-682-3300",
            "fax_number": "978-682-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAIN ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452410",
            "telephone_number": "978-682-3300",
            "fax_number": "978-682-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DR. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "MCGRAVEY-RICCIO",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "978-682-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "049953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Aaron Kelly, PA-C
• Sandra Lucille Kelsey, P.T.
• Jessica P Kenney, OTR/L
• Rebeka Keuten, PNP
• Evgenia Khemlin, NP
• Amy Kilmon
• John King, ATC
• Kinisi, LLC
• Carolyn Kinnon
• Tabby W Kinyanjui, NP

• Pediatrics Physician in North Andover, MA
• Providers in North Andover, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.