Active NPIIndividual provider

Susan E Kellogg, PA

Physician Assistant in Westborough, Massachusetts

NPI Number1154301091
Practice location
900 Union St, Westborough, MA 01581-5408
Fax
508-616-4411
Last updated
March 9, 2018

Susan E Kellogg is a Physician Assistant based in Westborough, MA. Susan E Kellogg practices in Westborough, MA and has the professional credentials of PA. The NPI Number for Susan E Kellogg is 1154301091 and holds a License No. 275 (MA). The current practice location address for Susan E Kellogg is 900 Union St, Westborough, MA 01581-5408 and can be reached out via phone at 508-871-0700 and via fax at 508-616-4411.

Provider Profile Details

NPI Number
1154301091
Provider Name
Susan E Kellogg
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
900 Union St, Westborough, MA 01581-5408
Phone Number
508-871-0700
Fax Number
508-616-4411
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
-- Suzanne G Baumwell, PA (Former Name)
Provider Enumeration Date
January 18, 2006
Last Update Date
March 9, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Union St
Westborough, MA 01581-5408
Zip
01581-5408
Phone Number
508-871-0700
Fax Number
508-616-4411
Westborough, MA 01581Get directions →

Provider Business Mailing Address Details

Address
630 Plantation St Fl 12
Worcester, MA 01605-2038
City
Worcester
State
MA
Zip
01605-2038
Phone Number
508-871-0700
Fax Number
508-616-4411

License Information

License Number
275
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan E Kellogg, PA?

The NPI number of Susan E Kellogg, PA is 1154301091. It was assigned on January 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan E Kellogg, PA?

Susan E Kellogg, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 275.

Where does Susan E Kellogg, PA practice?

The practice location is 900 Union St, Westborough, MA 01581-5408. The office can be reached at 508-871-0700 (phone) or 508-616-4411 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154301091 directly on the NPPES registry website.

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