Mikayla M Van Dervoort, PA-C
Physician Assistant in Saugus, Massachusetts
1649014614- Practice location
- 180 Main St, Saugus, MA 01906-3213
- Phone
- 339-674-0978
- Fax
- 339-574-0914
- Last updated
- September 16, 2024
Mikayla Marie Van Dervoort is a Physician Assistant based in Saugus, MA. Mikayla Marie Van Dervoort practices in Saugus, MA and has the professional credentials of PA-C. The NPI Number for Mikayla Marie Van Dervoort is 1649014614. The current practice location address for Mikayla Marie Van Dervoort is 180 Main St, Saugus, MA 01906-3213 and can be reached out via phone at 339-674-0978 and via fax at 339-574-0914.
Provider Profile Details
- NPI Number
- 1649014614
- Provider Name
- Mikayla Marie Van Dervoort
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 180 Main St, Saugus, MA 01906-3213
- Phone Number
- 339-674-0978
- Fax Number
- 339-574-0914
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 24, 2024
- Last Update Date
- September 16, 2024
- Certification Date
- September 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 180 Main St
Saugus, MA 01906-3213 - City
- Saugus
- State
- Massachusetts
- Zip
- 01906-3213
- Phone Number
- 339-674-0978
- Fax Number
- 339-574-0914
Provider Business Mailing Address Details
- Address
- 360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105 - City
- Portsmouth
- State
- NH
- Zip
- 03801-7105
- Phone Number
- 603-410-6700
- Fax Number
- 603-309-8308
License Information
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Saugus, MA
View all Physician Assistants in Saugus →Frequently Asked Questions
What is the NPI number of Mikayla M Van Dervoort, PA-C?
The NPI number of Mikayla M Van Dervoort, PA-C is 1649014614. It was assigned on June 24, 2024 and is currently active in the NPPES registry.
What is the specialty of Mikayla M Van Dervoort, PA-C?
Mikayla M Van Dervoort, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Mikayla M Van Dervoort, PA-C practice?
The practice location is 180 Main St, Saugus, MA 01906-3213. The office can be reached at 339-674-0978 (phone) or 339-574-0914 (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 1649014614 directly on the NPPES registry website.