Daniel Kwiecien, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

207 Southbridge St
Auburn, MA 01501-2548

Phone

(508) 832-7118

NPI assigned

Feb 10, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniel E Viders MD PCGroup PAC ID 9931154283, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Daniel E Viders MD PC

  • Dermatology Physician
  • Auburn, MA
  • NPI 1033163126
  Medicare reassignment Care Compare group
• Rhode Island Dermatology & Cosmetic Center LLC

  • Specialist
  • Lincoln, RI
  • NPI 1972676021
  Medicare reassignment
• Rhode Island Dermatology Obs

  • Ambulatory Surgical Clinic/Center
  • Lincoln, RI
  • NPI 1235202201
  NPD (past)

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1881052462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CENTRAL ST",
            "address_2": "UNIT C6",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202748",
            "telephone_number": "781-413-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SOUTHBRIDGE ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012548",
            "telephone_number": "508-832-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIECIEN",
        "first_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheri Anne Klinghard
• Lauren Deane Knox
• Christina Kosmidis
• Juliana Kouassi I, NO
• Angela Koulax, PT
• Jennifer W Labonte, M.D.
• Ashley Lachapelle-Messier, APRN
• Steven J Lachowski, DPT
• Steven Charles Lamothe
• Michael Paul Larsen, O.D.

• Physician Assistant in Auburn, MA
• Providers in Auburn, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.

Verify at the official NPI Registry.