Active NPIIndividual provider

Mrs. Katherine M Baird, PAC

Physician Assistant in Willimantic, Connecticut

NPI Number1962557470
Practice location
112 Mansfield Ave, Willimantic, CT 06226-2045
Fax
—
Last updated
June 26, 2015

Katherine Marie Baird is a Physician Assistant based in Willimantic, CT. Katherine Marie Baird practices in Willimantic, CT and has the professional credentials of PAC. The NPI Number for Katherine Marie Baird is 1962557470 and holds a License No. 001000790 (NC). The current practice location address for Katherine Marie Baird is 112 Mansfield Ave, Willimantic, CT 06226-2045 and can be reached out via phone at 860-423-6410.

Provider Profile Details

NPI Number
1962557470
Provider Name
Katherine Marie Baird
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
112 Mansfield Ave, Willimantic, CT 06226-2045
Phone Number
860-423-6410
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Katherine Marie Bates, PAC (Former Name)
Provider Enumeration Date
January 24, 2007
Last Update Date
June 26, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
112 Mansfield Ave
Willimantic, CT 06226-2045
Zip
06226-2045
Phone Number
860-423-6410
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
Po Box 414521
Boston, MA 02241-4521
City
Boston
State
MA
Zip
02241-4521
Phone Number
860-423-6410

License Information

License Number (1)
001000790
License State (1)
NC
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA-591
License State (2)
AL
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
002902
License State (3)
CT
Taxonomy (3)
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 Mrs. Katherine M Baird, PAC?

The NPI number of Mrs. Katherine M Baird, PAC is 1962557470. It was assigned on January 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Katherine M Baird, PAC?

Mrs. Katherine M Baird, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 001000790.

Where does Mrs. Katherine M Baird, PAC practice?

The practice location is 112 Mansfield Ave, Willimantic, CT 06226-2045. The office can be reached at 860-423-6410 (phone).

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 1962557470 directly on the NPPES registry website.

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