KRISTIN MAGDYCZ (NPI# 1083861538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083861538 |
| Entity Type | Individual |
| Full Name | KRISTIN MAGDYCZ |
| Credential | PA |
| Practice Address |
103 Garland St Everett MA 02149-5066 |
| Mailing Address |
1493 Cambridge St Cambridge MA 02139-1099 |
| Practice Telephone | 6173896270 |
| Mailing Telephone | 6176651616 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2015-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
100623T | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
103 GARLAND ST |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962498378 | Gary Blair | Emergency Medicine | 103 Garland St, Everett, MA 02149-5066 | 2005-09-21 |
| 1093379737 | Lisa Marie Shoulders | Physician Assistant | 103 Garland St, Everett, MA 02149-5066 | 2019-04-29 |
| 1952964983 | Samantha Christine Bianchi | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2019-04-16 |
| 1851862080 | Nicole Theresa Desimone | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-12-16 |
| 1194210542 | Susan Catherine Reilly | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-06-28 |
| 1962995738 | Catherine Ande Sinelien | Respiratory Therapist, Registered | 103 Garland St, Everett, MA 02149-5066 | 2018-06-07 |
| 1912499625 | Karla Marie Osorio | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-05-30 |
| 1417447475 | Justin Puckett | Physician Assistant | 103 Garland St, Everett, MA 02149-5066 | 2018-05-15 |
| 1508362633 | Stephanie Healy | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-04-05 |
| 1639695554 | Beili Zhu | Physical Therapist | 103 Garland St, Everett, MA 02149-5066 | 2017-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295822740 | Gregory Douglas Stewart Sr. | Physician Assistant | 2424 122nd St Sw, B, Everett, WA 98204-4744 | 2006-10-06 |
| 1003881020 | James Potocsnak | Physician Assistant | 2320 Rucker Ave, Everett, WA 98201 | 2006-02-22 |
| 1710979521 | Eric M Tilley | Physician Assistant | 728 134th St Sw Ste 120, Radia Inc., Ps, Everett, WA 98204-5322 | 2005-08-17 |
| 1003271339 | Christine Reichert | Physician Assistant | 1330 Rockefeller Ave Ste 400, Everett, WA 98201-1676 | 2015-12-31 |
| 1396132015 | Alvin Abueg | Physician Assistant | 3927 Rucker Ave, Everett, WA 98201-4833 | 2015-04-21 |
| 1598167074 | Jon Pennington | Physician Assistant | 3726 Broadway, Suite 201, Everett, WA 98201-3787 | 2014-09-16 |
| 1528496858 | James Albert Marsh | Physician Assistant | 3927 Rucker Ave, Everett, WA 98201-4833 | 2013-10-23 |
| 1558609578 | Julie Lorraine Patterson | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2013-01-25 |
| 1871809517 | Amanda Farrell | Physician Assistant | 103 Garland St, Everett, MA 02149 | 2010-08-19 |
| 1528370723 | Western Washington Medical Group, Inc | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2010-07-06 |
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| 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.