Active NPI
Dawn R Pecora, PA-C
- Medical Physician Assistant
- Baltimore, MD
National Provider Identifier
1952431512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C0003494
- Practice address
- 900 Caton Ave
Saint Agnes Hospital
Baltimore, MD 21229 - Phone
- (800) 247-8060
- Fax
- (215) 957-2875
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0003494 | MD | Primary |
Addresses
Primary practice location
900 Caton Ave
Saint Agnes Hospital
Baltimore, MD 21229
Mailing address
903 Oldham St
Baltimore, MD 21224-4508
Phone (410) 633-9261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0003494 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caton Emergency Physicians | Past | Accepting new patients | |
| Maryland Provo-I Medical Services, PC | Past | Accepting new patients |
Interoperability endpoints
- dawn.pecora.1@14940.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1003829953
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1013002096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1952431512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 OLDHAM ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244508",
"telephone_number": "410-633-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CATON AVE",
"address_2": "SAINT AGNES HOSPITAL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21229",
"telephone_number": "800-247-8060",
"fax_number": "215-957-2875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECORA",
"first_name": "DAWN",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0003494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.