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KATIE COLLEEN PEDICORD PA NPI 1659489920


NPI Information

NPI: 1659489920
Provider Name: KATIE COLLEEN PEDICORD, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
8230 WALNUT HILL LN
SUITE 808
DALLAS, TX
ZIP 75231
Phone: (214) 696-8828
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Katie Colleen Pedicord, PA is a medical physician assistant in Dallas, TX with 20 years of experience. Katie Colleen Pedicord, PA NPI is 1659489920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:2004

The provider's business location address is:

8230 WALNUT HILL LN
SUITE 808
DALLAS, TX
ZIP 75231-482
Phone: (214) 696-8828
Fax: (214) 696-1444

The NPI 1659489920 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Destruction of skin growth (HCPCS:17000)

The enumeration date for this NPI number is 8/28/2006 and was last updated on 11/5/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalPA04430TEXASNo
2363AM0700XPhysician AssistantMedicalPA04430TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18G0633MEDICARE UPINTEXAS
28G0633MEDICARE ID-TYPE UNSPECIFIEDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.