Individual provider Active NPI

Kathryn M Ghio, PA-C

  • Medical Physician Assistant
  • North Andover, MA
National Provider Identifier
1689965733
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA4123 Issued in MA
Practice address
575 Turnpike St
Suite 11
North Andover, MA 01845-5924
Phone
(978) 794-1946
Fax
(978) 327-6560
NPI assigned
Apr 25, 2011
Last updated
Apr 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA4123 MA Primary

Addresses

Primary practice location

575 Turnpike St
Suite 11
North Andover, MA 01845-5924

Mailing address

575 Turnpike St
Suite 11
North Andover, MA 01845-5937
Phone (978) 794-1946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA4123MAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1689965733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST",
            "address_2": "SUITE 11",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455937",
            "telephone_number": "978-794-1946",
            "fax_number": "978-327-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST",
            "address_2": "SUITE 11",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455924",
            "telephone_number": "978-794-1946",
            "fax_number": "978-327-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIO",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA4123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.