Mrs. Katherine M Crocker, PA-C
Physician Assistant, Medical in Jamaica Plain, Massachusetts
1386078137- Practice location
- 170 Morton Street, Jamaica Plain, MA 02130
- Phone
- 617-971-3305
- Fax
- 617-971-3643
- Last updated
- October 2, 2023
Katherine Marie Crocker is a Physician Assistant, Medical based in Jamaica Plain, MA. Katherine Marie Crocker practices in Jamaica Plain, MA and has the professional credentials of PA-C. The NPI Number for Katherine Marie Crocker is 1386078137 and holds a License No. PA4959 (MA). The current practice location address for Katherine Marie Crocker is 170 Morton Street, Jamaica Plain, MA 02130 and can be reached out via phone at 617-971-3305 and via fax at 617-971-3643.
Provider Profile Details
- NPI Number
- 1386078137
- Provider Name
- Katherine Marie Crocker
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 170 Morton Street, Jamaica Plain, MA 02130
- Phone Number
- 617-971-3305
- Fax Number
- 617-971-3643
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 29, 2013
- Last Update Date
- October 2, 2023
- Certification Date
- October 2, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Morton Street
Jamaica Plain, MA 02130 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130
- Phone Number
- 617-971-3305
- Fax Number
- 617-971-3643
Provider Business Mailing Address Details
- Address
- 170 Morton Street
Jamaica Plain, MA 02130 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130
- Phone Number
- 617-971-3305
- Fax Number
- 617-971-3643
License Information
- License Number (1)
- PA4959
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X · Primary
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Jamaica Plain, MA
View all Physician Assistant, Medical providers in Jamaica Plain →Frequently Asked Questions
What is the NPI number of Mrs. Katherine M Crocker, PA-C?
The NPI number of Mrs. Katherine M Crocker, PA-C is 1386078137. It was assigned on August 29, 2013 and is currently active in the NPPES registry.
What is the specialty of Mrs. Katherine M Crocker, PA-C?
Mrs. Katherine M Crocker, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA4959.
Where does Mrs. Katherine M Crocker, PA-C practice?
The practice location is 170 Morton Street, Jamaica Plain, MA 02130. The office can be reached at 617-971-3305 (phone) or 617-971-3643 (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 1386078137 directly on the NPPES registry website.