Individual provider Active NPI

Katherine Gwozdz

  • Surgical Physician Assistant
  • Wakefield, RI
National Provider Identifier
1740603463
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA01005 Issued in RI
Practice address
1 High St
Wakefield, RI 02879-3103
Phone
(401) 789-1422
Fax
(401) 782-6810
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA056279 PA
Surgical Physician Assistant 363AS0400X PA01005 RI Primary

Addresses

Primary practice location

1 High St
Wakefield, RI 02879-3103

Mailing address

1 High St
Wakefield, RI 02879-3103
Phone (401) 789-1422

Other practice location 1

925 Chestnut St
5th Floor
Philadelphia, PA 19107-4216
Phone (267) 339-3500

Other practice location 2

925 Chestnut St
5th Floor
Philadelphia, PA 19107-4216
Phone (267) 339-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171204000125 RI Practitioner - Physician Assistant 3274765052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians

Practice addresses (Care Compare)

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000

900 Warren Ave
Suite 202
East Providence, RI 02914-1430
Phone (401) 777-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056279PAMDSurgical Physician Assistant
PA01005RIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc CurrentSince Oct 16, 2017 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Oct 16, 2017 Accepting new patients
Orthopedics Rhode Island, Inc Past Accepting new patients
Reconstructive Orthopaedic Associates II LLC Past Accepting new patients

Locations

588 Pawtucket Ave
Pawtucket, RI 02860
Phone (401) 722-2400

70 Kenyon Ave
Ste 100
Wakefield, RI 02879

1 High St
Wakefield, RI 02879
Phone (401) 789-1422

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740603463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793103",
            "telephone_number": "401-789-1422",
            "fax_number": "401-782-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793103",
            "telephone_number": "401-789-1422",
            "fax_number": "401-782-6810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Chestnut St",
            "address_2": "5th Floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074216",
            "country_code": "US",
            "telephone_number": "267-339-3500",
            "fax_number": "215-503-0580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Chestnut St",
            "address_2": "5th Floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074216",
            "country_code": "US",
            "telephone_number": "267-339-3500",
            "fax_number": "215-503-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GWOZDZ",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA056279",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "RI",
            "license": "PA01005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.