MR. KENNETH R DOVIDIO (NPI# 1891812061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891812061 |
| Entity Type | Individual |
| Full Name | MR. KENNETH R DOVIDIO |
| Credential | PA |
| Practice Address |
555 Turnpike St Ste 31 North Andover MA 01845-5923 |
| Practice Telephone | 9786834299 |
| Practice Fax Number | 9786889603 |
| Mailing Telephone | 9786834299 |
| Mailing Fax Number | 9786889603 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 308 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
555 TURNPIKE ST STE 31 |
| City | NORTH ANDOVER |
| State | MA |
| Zip Code | 01845-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922090430 | Thomas F Johnson | Specialist | 555 Turnpike St, North Andover, MA 01845-5923 | 2005-08-19 |
| 1043688195 | Dianna Gormley | Nurse Practitioner | 555 Turnpike St, North Andover, MA 01845-5923 | 2015-09-07 |
| 1659748515 | Amy Mccarthy | Nurse Practitioner | 555 Turnpike St, North Andover, MA 01845-5923 | 2015-08-27 |
| 1477952851 | Neaipc,pllc | Specialist | 555 Turnpike St, Ste 31, North Andover, MA 01845-5998 | 2014-08-21 |
| 1497161244 | Neaipcllc | Specialist | 555 Turnpike St, Ste 31, North Andover, MA 01845-5998 | 2014-07-01 |
| 1831475672 | Marie Sacco | Nurse Practitioner | 555 Turnpike St, North Andover, MA 01845-5923 | 2011-10-25 |
| 1043457393 | Ian M. Turner, D.d.s., P.C. | Dentist | 555 Turnpike St, Suite 42, North Andover, MA 01845-5923 | 2009-01-08 |
| 1821242611 | Jennifer R Leroyer | Physician Assistant | 555 Turnpike St, North Andover, MA 01845-5923 | 2008-11-06 |
| 1730337312 | E Z Dental, LLC | Dentist | 555 Turnpike St, #55, North Andover, MA 01845-5923 | 2008-09-08 |
| 1972796662 | Bassam S El-jamous | Dentist | 555 Turnpike St, Suite 55, North Andover, MA 01845-5923 | 2007-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780222091 | Bh Brightview North Andover Opco, LLC | Alzheimer Center (Dementia Center) | 1275 Turnpike Street, North Andover, MA 01845 | 2019-12-17 |
| 1770132052 | Nancy Boshar | Social Worker | 109 Saw Mill Road, North Andover, MA 01845 | 2019-09-09 |
| 1497307854 | Maria Nappa | Nurse Practitioner | 47 High Street, Suite 101, North Andover, MA 01845 | 2019-07-15 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1891278040 | Kristen Dee | Counselor | 6 Garnet Circle, North Andover, MA 01845 | 2018-09-13 |
| 1154809770 | Oped Medical, Inc. | Durable Medical Equipment & Medical Supplies | 37 Flagship Drive, North Andover, MA 01845 | 2018-08-06 |
| 1902382658 | Barry Myers | Physical Therapist | 231 Sutton Street, Suite 1c, North Andover, MA 01845 | 2018-07-16 |
| 1174042337 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Lahey Health Primary Care, North Andover, 170 Pleasant St., N. Andover, MA 01845 | 2017-09-19 |
| 1174041792 | Eric Tweedie | Specialist/Technologist | 72 Fernview Ave Apt 2, North Andover, MA 01845 | 2017-09-04 |
| 1043734379 | Hiron Health | Internal Medicine | 820a Turnpike Street, North Andover, MA 01845 | 2017-07-28 |
| Find all providers in zip 01845 | ||||
| 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 |
|---|---|---|---|---|
| 1689128928 | Danielle Sarah Max | Physician Assistant | 2502 Tupelo Cir, North Andover, MA 01845-6387 | 2016-08-03 |
| 1760808281 | Andrea Conway | Physician Assistant | 555 Turnpike St Ste 52, North Andover, MA 01845-5935 | 2014-03-07 |
| 1558878579 | Alanna Salomone | Physician Assistant | 129 Turnpike St, North Andover, MA 01845-5032 | 2017-12-29 |
| 1831626597 | Nicole Wyman | Physician Assistant | 47 High Street, North Andover, MA 01845 | 2017-05-12 |
| 1720471352 | Julie Le Giordani | Physician Assistant | 198 Massachusetts Ave, North Andover, MA 01845-4143 | 2015-03-06 |
| 1992001929 | Heidi Marie Sauer | Physician Assistant | 538 Turnpike St, North Andover, MA 01845-5812 | 2011-02-09 |
| 1750510533 | Kelly Theo Rouleau | Physician Assistant | 555 Turnpike Street, Suite 52, North Andover, MA 01845 | 2009-07-14 |
| 1821242611 | Jennifer R Leroyer | Physician Assistant | 555 Turnpike St, North Andover, MA 01845-5923 | 2008-11-06 |
| 1134244528 | Bernard W Macgregor | Physician Assistant | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2007-03-21 |
| 1295756609 | Erin M O'connor | Physician Assistant | 451 Andover St, Suite 206, North Andover, MA 01845-5044 | 2006-07-21 |
| Find all providers in NORTH ANDOVER | ||||
| City | NORTH ANDOVER |
| Zip Code | 01845 |
Please comment or provide details below to improve the information on MR. KENNETH R DOVIDIO.
| 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.