KIMBERLY TAYLOR BUNDICK PA-C, MMSC - NPI 1104328699 - Physician Assistant in New York, NY

Q: What is Kimberly Bundick's NPI number?

The NPI number for Kimberly Bundick is 1104328699. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Q: What is Kimberly Bundick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Bundick was last updated on October 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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About Kimberly Taylor Bundick Pa-c, Mmsc NPPES

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

KIMBERLY TAYLOR BUNDICK PA-C, MMSC (NPI 1104328699) is an individual physician assistant in New York, New York, licensed in New York (023714-01) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1104328699

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIMBERLY TAYLOR BUNDICKCredential: PA-C, MMSC

Location Address1275 YORK AVENew York, NY 10065-6007

Mailing Address1270 5th Ave Apt 10aNew York, NY 10029-3425 · (630) 234-1024

Phone(212) 639-2000

Sole ProprietorNo

Enumeration DateMarch 1, 2018

Last NPPES UpdateOctober 6, 20193 updates tracked since enumeration

✔ NPI 1104328699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NY · 023714-01✔ Licensed in TX · PA11832

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.

1275 YORK AVE, New York, NY 10065

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Other Identifiers 2

Medicaid382407002TX

Medicaid382407001TX

Other Providers at the Same Location NPPES 20

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

MRS. ZANA CORREA NP

Nurse Practitioner (Adult Health)