Carolyn Jamie Kussmaul
Physician Assistant

Address: 216 Beacon Street Apt 1, Boston, MA 02116
Phone: 3392226786

Carolyn Jamie Kussmaul (NPI# 1255859757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1255859757
Entity Type Individual
Full Name Carolyn Jamie Kussmaul
Credential PA
Gender Female
Practice Address 216 Beacon Street Apt 1
MA 02116
Practice Telephone 3392226786
Mailing Address 216 Beacon St Apt 1
MA 02116-1302
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2017-09-05
Last Update Date 2017-09-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Physician Overview

NPI 1255859757
PAC ID by PECOS 5698035624
Professional Enrollment ID I20180212001504
Full Name Carolyn Jamie Kussmaul
Phone Number 7814858222
Gender F
Graduation Year 2017
Group Practice PAC ID 8921910894
Number of Group Practice Members 533
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982239430 Catherine Dam Physician Assistant 357 Commercial St Apt 420, Boston, MA 02109-1236 2020-03-05
1033742390 Melissa Stathas Physician Assistant 32 Fruit St Bldg 5th, Boston, MA 02114-2620 2020-02-14
1285266114 Andrew F Molgaard Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2020-02-09
1689204356 John Michael Sullivan Physician Assistant 496 Columbus Ave Apt 2, Boston, MA 02118-3164 2020-01-22
1275184905 Danielle Dacunha Physician Assistant 42 Worcester Sq Apt 10, Boston, MA 02118-2920 2019-09-24
1477103505 Seema Sarah Teymouri Physician Assistant 99 Kneeland St Apt 607, Boston, MA 02111-2437 2019-09-20
1073164166 Natalie Eng Physician Assistant 150 Huntington Ave Apt Nl3, Boston, MA 02115 2019-09-20
1205486404 Tom Nhat Tran Physician Assistant 43 Thorndike St Apt 1, Boston, MA 02118-3280 2019-09-19
1730739756 Melissa Thomas Physician Assistant 150 H St Apt 2, Boston, MA 02127-3766 2019-09-12
1437709458 Kimberly Lissette Rivera Physician Assistant 290 E St Apt 3, Boston, MA 02127-4668 2019-09-12
Find all providers in BOSTON

Office Location

Street Address 216 BEACON STREET APT 1
State MA
Zip Code 02116

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184199457 Padideh Mohammad Alizadeh Chafjiri Dentist 62 Baylston Street Apt 801, Boston, MA 02116 2018-10-12
1114407467 Marissa Shallcross Social Worker 120 Boylston Street, Boston, MA 02116 2018-08-16
1245732825 Rachel Klein Social Worker 39 Boylston Street, Boston, MA 02116 2018-02-28
1447759691 Yintuition Wellness, Pllc Acupuncturist 551 Boylston St., Suite 4, Boston, MA 02116 2018-02-02
1104324094 Anne Vinick Social Worker The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 2018-01-25
1982117743 Cassandra Xanthos Social Worker Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 2017-11-14
1215472634 Chantel Castro Counselor 8 Yarmouth Place Apt #2, Boston, MA 02116 2016-12-20
1336598598 Nicole Savina Rittershaus Pediatrics 354 Tremont Street, Boston, MA 02116 2016-06-08
1770937997 Yoon-young Heo Student in an Organized Health Care Education/Training Program 62 Boylston St, Apt 911, Boston, MA 02116 2016-04-14
1003201757 Yousef Asaad Pharmacist 21-23 Stanhope St, Boston, MA 02116 2015-03-31
Find all providers in zip 02116


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Zip Code 02116

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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