Meredith A Chidsey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA4889 Issued in MA

Practice address

36 Adams St
Quincy, MA 02169-2002

Phone

(617) 773-0711

Fax

(617) 472-5400

NPI assigned

Nov 7, 2013

Last updated

Mar 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Meredith A Craig Other name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Coast Dermatology LLCGroup PAC ID 8729025028, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• South Coast Dermatology LLC

  • Specialist
  • Weymouth, MA
  • NPI 1215911383
  Medicare reassignment Care Compare group
• Plymouth Dermatology Associates, PC

  • Dermatology Physician
  • Plymouth, MA
  • NPI 1144362179
  Medicare reassignment
• Plymouth Dermatology Specialists PLLC

  • Dermatology Physician
  • Plymouth, MA
  • NPI 1417741414

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1952730160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692002",
            "telephone_number": "617-773-0711",
            "fax_number": "617-472-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692002",
            "telephone_number": "617-773-0711",
            "fax_number": "617-472-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDSEY",
        "first_name": "MEREDITH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4889",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "4889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "CRAIG",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hazel Cheng
• Melanie Anne Chetwynd, OTR/L
• Winnie Cheuk, PHARM D.
• Elaine Manli CHI, REGISTERED NURSE
• Jessica Chiachio
• Bridget Sheng Fong Chin, MD
• Princeton Chinaenyeze
• Courtney Chinn
• Chiro Wellness Professionals LLC
• Hyaeeun (Sophia) Cho, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.