ANNA CATHRYN BEDDOR (NPI# 1205320496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205320496 |
| Entity Type | Individual |
| Full Name | ANNA CATHRYN BEDDOR |
| Credential | PA-C |
| Practice Address |
154 Great Rd Bedford MA 01730-2725 |
| Mailing Address |
23 Avon St # 1 Cambridge MA 02138-1557 |
| Practice Telephone | 9523888353 |
| Mailing Telephone | 9523888353 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 56811 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 6496 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
154 GREAT RD |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407370216 | Laura L Boulter | Nurse Practitioner | 154 Great Rd, Bedford, MA 01730-2725 | 2017-08-02 |
| 1811534761 | Tiana Ingersoll | Nurse Practitioner | 154 Great Rd, Bedford, MA 01730-2725 | 2019-12-10 |
| 1548814007 | Gina Renee Fuccillo | Nurse Practitioner | 154 Great Rd, Bedford, MA 01730 | 2019-08-01 |
| 1528554581 | Simone C Prioli | Physician Assistant | 154 Great Rd, Bedford, MA 01730-2725 | 2018-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1336652833 | Alyssa Ilg | Physician Assistant | 1615 Hospital Pkwy Ste 306, Bedford, TX 76022-5936 | 2017-11-07 |
| 1023334562 | Joseph Mangum | Physician Assistant | 5 Washington Place, Suite 1b, Bedford, NH 03110 | 2010-04-08 |
| 1033358759 | Christopher G. Carter | Physician Assistant | 7 Pinewood Ter, Bedford, NH 03110-5537 | 2009-02-19 |
| 1851416986 | Deanne Marie Chapman | Physician Assistant | 20 Washington Pl Fl 2, Bedford, NH 03110-6706 | 2007-03-20 |
| 1780736777 | Ronald E Ochoa | Physician Assistant | 88 Center Rd Ste 360, Bedford, OH 44146-2711 | 2007-01-18 |
| 1811937113 | Leah Ann Franks | Physician Assistant | 1368 American Way, Bedford, VA 24523-2940 | 2006-06-07 |
| 1326006834 | Michael G Clark | Physician Assistant | 1305 Airport Fwy Ste 305, Bedford, TX 76021-6604 | 2006-05-03 |
| 1740265560 | Kirstin Dawn Pickens | Physician Assistant | 2425 Hwy 121, Bedford, TX 76021 | 2005-12-14 |
| 1861053241 | Morgan Copeland | Physician Assistant | 1701 Park Place Ave, Bedford, TX 76022-6033 | 2019-06-26 |
| Find all providers in BEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.