Abigail Dionne, PA
Individual provider Active NPI Physician Assistant · Johnstown, NY
NPI 1992114243 · NPPES record last updated Jun 9, 2017
Key facts
- NPI
- 1992114243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 018005 (NY)
- Practice address
- 23 S Perry St
Johnstown, NY 12095-2316 - Phone
- (518) 736-1500
- Fax
- (518) 762-8194
- NPI assigned
- Aug 11, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Mary'S Healthcare
Practice addresses (Care Compare)
380 Guy Park Ave
Amsterdam, NY 12010-1065
Phone (518) 770-7830
84 E State St
Gloversville, NY 12078-1202
Phone (518) 773-7710
Hospital & facility affiliations
- Marquis Certified Home Care, LLC
- St Marys Healthcare
- Nathan Littauer Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141112001226 | NY | Practitioner - Physician Assistant | 3971725615 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018005 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys Healthcare | Current |
Accepting new patients | |
| St. Mary'S Healthcare | Current |
Accepting new patients | |
| Nathan Littauer Hospital Association | Past | Accepting new patients |
Locations
427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404
380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415
380 Guy Park Ave
Ste 2
Amsterdam, NY 12010
Phone (518) 770-7581
4988 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-3100
48 Erie Blvd
Canajoharie, NY 13317
Phone (518) 673-2573
84 E State St
Gloversville, NY 12078
Phone (518) 332-4336
700 S Perry St
Johnstown, NY 12095
Phone (518) 736-1004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 018005 | NY | Yes |
Addresses
Primary practice location
23 S Perry St
Johnstown, NY 12095-2316
Mailing address
PO Box 1250
99 East State Street
Gloversville, NY 12078-0010
Phone (518) 773-5758
NPI Registry JSON
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496966400000",
"number": "1992114243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1250",
"address_2": "99 EAST STATE STREET",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120780010",
"telephone_number": "518-773-5758",
"fax_number": "518-773-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 S PERRY ST",
"city": "JOHNSTOWN",
"state": "NY",
"postal_code": "120952316",
"telephone_number": "518-736-1500",
"fax_number": "518-762-8194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIONNE",
"first_name": "ABIGAIL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-11",
"last_updated": "2017-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "018005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, NY
- Danita Curtis
- Emily Daley
- Gary Davis
- Melissa J Devine
- Carole Deyoe
- Gary Allen Disanto-Rose
- Erin Kelly Drobnack
- Raleigh S Ducut Jr.
- Brad J. Dunlap
- Tamara L Dunlap
All providers in Johnstown, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.