Kristina Lynn Ahn, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601004109 Issued in MI

Practice address

595 Barclay Cir Ste D
Rochester Hills, MI 48307-5802

Phone

(248) 852-5355

Fax

(248) 852-8411

NPI assigned

Oct 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kristina Lynn Didocha Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1962787697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BARCLAY CIR STE D",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075802",
            "telephone_number": "248-852-5355",
            "fax_number": "248-852-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BARCLAY CIR STE D",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075802",
            "telephone_number": "248-852-5355",
            "fax_number": "248-852-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "KRISTINA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "DIDOCHA",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Austin Tyler Ahlgren, DO
• Bradley D Ahlgren, MD
• Zulfiqar Ahmad, PT
• Ahmed E Ayoub MD PC
• Zakiya Ahmed
• Andrew Robb Aikens, MPT CSCS
• Crystal Thamer Ajja, DO
• Lena Akkad, DDS
• Aks of Romeo LLC
• Mohammed Wael Al-Ameri, MD

• All providers in Rochester Hills, MI
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.