PATRICIA ANNE DYKSTRA MD NPI 1851365035

NPI Information

NPI: 1851365035
Provider Name: PATRICIA ANNE DYKSTRA, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
597 MERRIMACK ST
LOWELL COMMUNITY HEALTH CENTER
LOWELL, MA
ZIP 01854
Phone: (978) 937-9700
Get Directions

Patricia Anne Dykstra, MD is a pediatrics in Lowell, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Patricia Anne Dykstra, MD NPI is 1851365035. 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:

597 MERRIMACK ST
LOWELL COMMUNITY HEALTH CENTER
LOWELL, MA
ZIP 01854
Phone: (978) 937-9700
Fax: (978) 446-9830

The NPI 1851365035 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 7/30/2008.

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	2080P0208X	Pediatrics	Pediatric Infectious Diseases	77409	MASSACHUSETTS	No
2	208000000X	Pediatrics		77409	MASSACHUSETTS	Yes

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	042881348	OTHER		BEECH STREET
2	J14028	OTHER		BLUE CROSS BLUE SHIELD
3	1339	OTHER		NEIGHBORHOOD HEALTH PLAN
4	731688	OTHER		TUFTS
5	1305557	MEDICAID	MASSACHUSETTS
6	9204204	OTHER		UNITED HEALTH CARE
7	042881348	OTHER		ONE HEALTH
8	22397	OTHER		FALLON
9	A78758	MEDICARE UPIN
10	042881348	OTHER		CHOICECARE
11	979892	OTHER		NETWORK HEALTH
12	204699	OTHER		HARVARD PILGRIM HLTH CARE
13	3437455	OTHER		AETNA
14	6469876	OTHER		CIGNA
15	J14028	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS

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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