KATHLEEN M O'DEA P. A. - C.
NPI 1063541928
Physician Assistant in Medford, MA

Active since March 05, 2007
124 PROFESSORS ROW, MEDFORD, MA 02155(617) 627-3350(617) 627-3592 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Kathleen M O'dea P. A. - C. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN M O'DEA P. A. - C. (NPI 1063541928) is an individual physician assistant in Medford, Massachusetts, licensed in Massachusetts (323) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063541928
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN M O'DEACredential: P. A. - C.
Location Address124 PROFESSORS ROWMedford, MA 02155-5816
Mailing Address51 Allen StArlington, MA 02474-6828
Fax(617) 627-3592
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063541928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · 323
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.
124 PROFESSORS ROW, Medford, MA 02155

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Adolescent Medicine)
124 PROFESSORS ROW
MEDFORD, MA 02155
Registered Nurse (Psychiatric/Mental Health, Adult)
124 PROFESSORS ROW, TUFTS UNIVERSITY HEALTH SERVICE
MEDFORD, MA 02155
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
124 PROFESSORS ROW
MEDFORD, MA 02155
Physician Assistant
124 PROFESSORS ROW
MEDFORD, MA 02155
Internal Medicine
124 PROFESSORS ROW
MEDFORD, MA 02155
Nurse Practitioner (Primary Care)
124 PROFESSORS ROW
MEDFORD, MA 02155
Physician Assistant
124 PROFESSORS ROW
MEDFORD, MA 02155
Nurse Practitioner (Family)
124 PROFESSORS ROW
MEDFORD, MA 02155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen O'dea's NPI number?

The NPI number for Kathleen O'dea is 1063541928. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Kathleen O'dea located?

Kathleen O'dea practices at 124 Professors Row, Medford, MA 02155. The listed phone number is (617) 627-3350.

What is Kathleen O'dea's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kathleen O'dea was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.