Active NPI
Dana M Fanning, PA-C, PT
- Physician Assistant
- Hingham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AP2410
- Practice address
- 2 Pond Park Rd
Suite 102
Hingham, MA 02043-4347 - Phone
- (781) 337-5555
- Fax
- (781) 335-6047
- NPI assigned
- Mar 14, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15029 | MA | |
| Physician Assistant | 363A00000X | AP2410 | MA | Primary |
Addresses
Primary practice location
2 Pond Park Rd
Suite 102
Hingham, MA 02043-4347
Mailing address
2 Pond Park Rd
Suite 102
Hingham, MA 02043-4347
Phone (781) 337-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99510 | Other | MA | FALLON |
Other names 1
- Dana M Hotchkiss
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
2 Pond Park Rd
Suite 102
Hingham, MA 02043-4354
Phone (781) 337-5555
36 Shops at 5 Way
Plymouth, MA 02360-2677
Phone (774) 608-3700
860 Route 134
South Dennis, MA 02660-2577
Phone (508) 385-4212
Hospital & facility affiliations
- South Shore Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.46 of 100
- Quality
- 72.66
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 55.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15029 | MA | MD | Physical Therapist |
| AP2410 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Orthopedics, LLC | Current | Accepting new patients |
Locations
2 Pond Park Rd
Ste 102
Hingham, MA 02043
Phone (781) 337-5555
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1871639914
-
- Orthopaedic Surgery Physician
- Hingham, MA
- NPI 1720285018
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
- Rehabilitation Clinic/Center
- East Harwich, MA
- NPI 1629165634
-
- Orthopaedic Surgery Physician
- Abington, MA
- NPI 1629793591
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1831168798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 POND PARK RD",
"address_2": "SUITE 102",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020434347",
"telephone_number": "781-337-5555",
"fax_number": "781-335-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 POND PARK RD",
"address_2": "SUITE 102",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020434347",
"telephone_number": "781-337-5555",
"fax_number": "781-335-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNING",
"first_name": "DANA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PA-C, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15029",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "AP2410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "99510",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "HOTCHKISS",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.