MR. JEFFERSON KNOTT PA NPI 1285615641

NPI Information

NPI: 1285615641
Provider Name: MR. JEFFERSON KNOTT, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
330 BROOKLINE AVE
BIDMC SHAPIRO 2 C/O DR. PAUL GLAZER
BOSTON, MA
ZIP 02215
Phone: (617) 667-2225
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MR. Jefferson Knott, PA is a medical physician assistant in Boston, MA. MR. Jefferson Knott, PA NPI is 1285615641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

330 BROOKLINE AVE
BIDMC SHAPIRO 2 C/O DR. PAUL GLAZER
BOSTON, MA
ZIP 02215-400
Phone: (617) 667-2225
Fax: (617) 667-2233

The enumeration date for this NPI number is 11/10/2005 and was last updated on 7/8/2007.

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			Yes
2	363AS0400X	Physician Assistant	Surgical			X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AP2485	MEDICARE ID-TYPE UNSPECIFIED
2	Q53292	MEDICARE UPIN

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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