KIMBERLY ANNE DEWEY MD NPI 1063408581

NPI Information

NPI: 1063408581
Provider Name: KIMBERLY ANNE DEWEY, MD
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
2207 BOSTON RD
WILBRAHAM, MA
ZIP 01095
Phone: (413) 599-1201
Get Directions

Kimberly Anne Dewey, MD is an adolescent medicine pediatrics in Wilbraham, MA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Kimberly Anne Dewey, MD NPI is 1063408581. 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:

2207 BOSTON RD
WILBRAHAM, MA
ZIP 01095-155
Phone: (413) 599-1201
Fax: (413) 596-2940

The enumeration date for this NPI number is 9/20/2005 and was last updated on 3/7/2023.

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	2080A0000X	Pediatrics	Adolescent Medicine	220683	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	220683	OTHER		MA LICENSE
2	2080303	MEDICAID	MASSACHUSETTS
3	7034605	OTHER		AETNA/USHC
4	220683	OTHER		CONNECTICARE
5	AA16576	OTHER		HARVARD PILGRIM
6	000000028542	OTHER		BOSTON MED CENTER HEALTHN
7	1205530	OTHER		UNITED HEALTHCARE
8	70513	OTHER		CHILDRENS MEDICAL SECURIT
9	969421	OTHER		NETWORK HEALTH
10	J27969	OTHER		BCBS
11	34817	OTHER		HEALTH NEW ENGLAND

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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