Active NPI
Katherine Gwozdz
- Surgical Physician Assistant
- Wakefield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA01005
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA056279 | PA | MD | Surgical Physician Assistant |
| PA01005 | RI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedics Rhode Island, Inc | Current | Accepting new patients | |
| Orthopedics Rhode Island, Inc | Current | 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.
-
- Orthopaedic Surgery Physician
- Warwick, RI
- NPI 1407231293
-
- Durable Medical Equipment & Medical Supplies
- Johnston, RI
- NPI 1114740230
-
- Orthopaedic Surgery Physician
- Warwick, RI
- NPI 1871049429
-
dba Rothman Orthopaedics Institute
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1861433278
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- Home Health Agency
- Narragansett, RI
- NPI 1831172907
-
- General Acute Care Hospital
- Wakefield, RI
- NPI 1952366106
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.