LEONARD V SHERWOOD


Address: 818 Congress St, Portland, ME 04102-3112
Phone: 2077738161

LEONARD V SHERWOOD (NPI# 1053383547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053383547
Entity Type Individual
Full Name LEONARD V SHERWOOD
Credential PA-C
Practice Address 818 Congress St
Portland
ME 04102-3112
Mailing Address 301c Us Route One
Scarborough
ME 04074-9701
Practice Telephone 2077738161
Practice Fax Number 2077731489
Mailing Telephone 2073968600
Mailing Fax Number 2073968632
Enumeration Date 2006-02-07
Last Update Date 2012-08-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA465 ME Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME 306660099 05

Office Location

Street Address 818 CONGRESS ST
City PORTLAND
State ME
Zip Code 04102-3112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932610599 Andrea Wyman Nurse Practitioner 818 Congress St, Portland, ME 04102-3112 2017-10-22
1497277735 Jeffrey G Previte Physician Assistant 818 Congress St, Portland, ME 04102-3112 2017-07-07
1578092706 Monica Chen Patregnani Nurse Practitioner 818 Congress St, Portland, ME 04102-3112 2017-06-10
1003366709 Patricia Mae Wieler Nurse Practitioner 818 Congress St, Portland, ME 04102-3112 2016-10-06
1083161822 Cody Mauch Physician Assistant 818 Congress St, Portland, ME 04102-3112 2016-09-09
1386198539 Abby Harrell Nurse Practitioner 818 Congress St, Portland, ME 04102 2016-08-04
1902261209 Devin Judith Lyon Physician Assistant 818 Congress St, Portland, ME 04102-3112 2015-12-31
1457742009 Alexis Rybny Registered Nurse 818 Congress St, Portland, ME 04102-3112 2015-02-17
1326455742 Amy Plante Physician Assistant 818 Congress St, Portland, ME 04102-3112 2014-07-17
1952716250 Taylor Hughes Gordon Physician Assistant 818 Congress St, Portland, ME 04102-3112 2014-06-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1396250122 Saron Theresa Sufuentes Physician Assistant 578 Nw Marlborough Ave, Portland, OR 97210-3104 2017-12-01
1952775520 Lauren Govier Physician Assistant 501 N Graham St Ste 415, Portland, OR 97227-2006 2015-11-19
1619346368 Ryan Mcmahon Physician Assistant 3415 Ne 20th Ave, Portland, OR 97212-2416 2015-09-23
1881090033 Sanja Bukarac Physician Assistant 20 Buca Run, Portland, ME 04103-1427 2014-11-17
1194130716 Nicole Lessard Physician Assistant 27 Bramhall St, Portland, ME 04102 2014-06-23
1528499910 Elan Kennedy Physician Assistant 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 2013-12-10
1013161405 Lorraine Walburga Gohman Physician Assistant 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 2008-11-11
1841472065 Mandy Melissa Williams Physician Assistant 265 N Broadway, Portland, OR 97227-1800 2007-11-29
1063612455 Donald R Noel Physician Assistant 10101 Se Main St Ste 3008, Portland, OR 97216-2458 2007-07-23
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Competitor

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City PORTLAND
Zip Code 04102

Improve Information

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Dataset Information

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.

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