Active NPI
Kathryn Christine Moles, PA-C
- Medical Physician Assistant
- Paoli, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA053459
- Practice address
- 2 Industrial Blvd Ste 200
Paoli, PA 19301-1648 - Phone
- (610) 647-2400
- NPI assigned
- Oct 26, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110002162 | VA | |
| Medical Physician Assistant | 363AM0700X | MA053459 | PA | Primary |
Addresses
Primary practice location
2 Industrial Blvd Ste 200
Paoli, PA 19301-1648
Mailing address
207 N Broad St FL 3
Philadelphia, PA 19107-1500
Phone (610) 647-2400
Other practice location 1
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1307 Merritt Blvd
Dundalk, MD 21222-2109
Phone (410) 288-2121
1354 Eastern Blvd
Expresscare of Essex
Essex, MD 21221-3423
Phone (443) 231-5203
1470 Martin Blvd
Middle River, MD 21220-4105
Phone (443) 231-5203
1505 E Churchville Rd
Bel Air, MD 21014-4742
2006 Rock Spring Rd
Forest Hill, MD 21050-2607
Phone (410) 569-0044
5 Bel Air S Pkwy
Suite 1535
Bel Air, MD 21015-3816
Phone (410) 569-0044
7700 Belair Rd
Baltimore, MD 21236-4004
Phone (410) 665-0670
7701 Harford Rd
Parkville, MD 21234-6403
Phone (410) 569-0069
8000 Loch Raven Blvd
Loch Raven, MD 21286-8337
Phone (410) 616-9027
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.23 of 100
- Quality
- 86.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110002162 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries LLC | Current | Accepting new patients | |
| MNR Industries LLC | Current | Accepting new patients |
Locations
1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330
504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452
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.
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1457478703
-
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1306241617
-
- Urgent Care Clinic/Center
- Upper Marlboro, MD
- NPI 1194195008
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1649089418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1881684165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N BROAD ST FL 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071500",
"telephone_number": "610-647-2400",
"fax_number": "610-647-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 INDUSTRIAL BLVD STE 200",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011648",
"telephone_number": "610-647-2400"
}
],
"practiceLocations": [
{
"address_1": "4320 Seminary Rd",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223041535",
"country_code": "US",
"telephone_number": "703-504-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLES",
"first_name": "KATHRYN",
"middle_name": "CHRISTINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-26",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110002162",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA053459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.