MS. KRISTIN NICOLE SOMERVILLE PA-C NPI 1265748263

NPI Information

NPI: 1265748263
Provider Name: MS. KRISTIN NICOLE SOMERVILLE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
6701 N CHARLES ST
BALTIMORE, MD
ZIP 21204
Phone: (443) 849-2000
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MS. Kristin Nicole Somerville, PA-C is a surgical physician assistant in Baltimore, MD with 14 years of experience. MS. Kristin Nicole Somerville, PA-C NPI is 1265748263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6701 N CHARLES ST
BALTIMORE, MD
ZIP 21204-808
Phone: (443) 849-2000

The NPI 1265748263 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/27/2010 and was last updated on 6/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	C0004260	MARYLAND	No
2	363AS0400X	Physician Assistant	Surgical	C0004260	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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