Stephen R Kallock , PHYSICIAN ASSISTANT
Physician Assistant • Jamaica Plain, MA
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, Stephen Kallock has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Stephen Kallock, PHYSICIAN ASSISTANT was a registered Physician Assistant practicing in Jamaica Plain, MA. Throughout an active medical career spanning 17 years, Stephen Kallock provided care at the practice location at 150 S HUNTINGTON AVE until profile deactivation on 2023-12-06.
Practice Location & Contact Primary Location
150 S Huntington Ave
Jamaica Plain, MA 021304817
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Jamaica Plain, MA
Practicing in Jamaica Plain, MA (4746 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
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner - Occupational Health
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 06, 2023
NPI status registered as active in NPPES database
Registered at 150 S HUNTINGTON AVE, JAMAICA PLAIN, MA 021304817 (Tel: 8573642353)
Registered at 35 FERNVIEW AVE, NORTH ANDOVER, MA 018454466 (Tel: 9789790771)
Recorded as STEPHEN KALLOCK, PHYSICIAN ASSISTANT
Physician Assistant (License #227 in MA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
35 Fernview Ave
North Andover, MA 018454466
Phone: 9789790771
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