Kathleen Ann Dodd , PA-C
Physician Assistant • Carbondale, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kathleen Dodd has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kathleen Dodd, PA-C was a registered Physician Assistant practicing in Carbondale, IL. Throughout an active medical career spanning 15 years, Kathleen Dodd provided care at the practice location at 374 EAST GRAND until profile deactivation on 2022-06-13.
Practice Location & Contact Primary Location
374 East Grand
Carbondale, IL 629016740
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Carbondale, IL
Practicing in Carbondale, IL (4958 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Family Nurse Practitioner
Family Medicine - Adolescent Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 13, 2022
NPI status registered as active in NPPES database
Registered at 374 EAST GRAND, CARBONDALE, IL 629016740 (Tel: 6184533311)
Registered at 3331 W DE YOUNG SUITE 100, MARION, IL 629595896 (Tel: 6189987600)
Recorded as KATHLEEN DODD, PAC
Physician Assistant (License #08500585 in IL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
3331 W De Young Suite 100
Marion, IL 629595896
Phone: 6189987600
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