Jaimie Kane, M.D.
Individual provider Active NPI Pediatrics Physician · Auburn, MA
NPI 1720035280 · NPPES record last updated Dec 1, 2011
Key facts
- NPI
- 1720035280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 228196 (MA)
- Practice address
- 105 Millbury St
Auburn, MA 01501-3205 - Phone
- (508) 832-9691
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228196 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Center, Inc. | Past | Accepting new patients | |
| Child Health Associates | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- jkane13920@direct.chppoc.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 228196 | MA | Yes |
Addresses
Primary practice location
105 Millbury St
Auburn, MA 01501-3205
Mailing address
105 Millbury St
Auburn, MA 01501-3205
Phone (508) 832-9691
Other providers in Auburn, MA
- Just a Spark Counseling LLC
- Francis L. Kach
- Prajakta Kadam
- Anna Kakizaki
- Margaret M Kamin
- Michael Mo Kang
- Parthenopi Kapiris
- George Karamanakis
- Esther Kariuki
- Eunice Karue
All providers in Auburn, MA · Pediatrics Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.