JARROD JOHN HENRY (NPI# 1083687024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083687024 |
| Entity Type | Individual |
| Full Name | JARROD JOHN HENRY |
| Credential | PA-C |
| Practice Address |
12 Shuman Ave Augusta ME 04330-6020 |
| Practice Telephone | 2076228600 |
| Practice Fax Number | 2076228601 |
| Mailing Telephone | 2076228600 |
| Mailing Fax Number | 2076228601 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2013-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1334 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | P00320656 | 01 | |
| MEDICARE GROUP ASSIGN | 838363 | 01 | |
| BS GROUP ASSIGN | 838363 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699167114 | Jarrod Henry | Physical Therapy Assistant | 11230 Pippin Rd, Cincinnati, OH 45231-1202 | 2015-02-20 |
| Street Address |
12 SHUMAN AVE |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-6020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700434248 | Paxton Marie Arsenault | Occupational Therapist | 12 Shuman Ave, Augusta, ME 04330-6020 | 2019-08-28 |
| 1790279560 | Jennifer Byron | Occupational Therapy Assistant | 12 Shuman Ave, Augusta, ME 04330-6020 | 2018-06-15 |
| 1558806877 | Betsy Allison Noyes | Occupational Therapy Assistant | 12 Shuman Ave, Suite 18, Augusta, ME 04330-6020 | 2016-12-21 |
| 1720433675 | Hayley Norberto | Occupational Therapist | 12 Shuman Ave, Augusta, ME 04330-6020 | 2016-04-28 |
| 1669878872 | Regional Home Care Inc | Durable Medical Equipment & Medical Supplies | 12 Shuman Ave, Unit #a-10, Augusta, ME 04330-6020 | 2014-11-16 |
| 1912331448 | Anita Pike | Occupational Therapy Assistant | 12 Shuman Ave, Augusta, ME 04330-6020 | 2013-09-03 |
| 1992099311 | Interdent LLC | Dentist | 12 Shuman Ave, Augusta, ME 04330-6020 | 2011-06-02 |
| 1730396227 | Ellen Rudge Bowman | Counselor | 12 Shuman Ave, Suite 18, Augusta, ME 04330-6020 | 2007-05-16 |
| 1679669931 | Ann Davina Tuddenham | Pediatrics | 12 Shuman Ave, Augusta, ME 04330-6020 | 2006-10-05 |
| 1073615290 | Valerie Denise Gallagher | Audiologist | 12 Shuman Ave, Augusta, ME 04330-6020 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1003164153 | Rachel Mccall Dawkins | Physician Assistant | Doctors Hospital of Augusta, 3651 Wheeler Rd., Augusta, GA 30909 | 2012-08-21 |
| 1447589379 | Donald Earl Maner Sr. | Physician Assistant | Ec3326 Laney Walker Blvd, Medical College of Georgia, Augusta, GA 30912 | 2009-12-24 |
| 1740515063 | Ashley Janae Thomas | Physician Assistant | 811 13th St Ste 11, University Professional Building 3, Augusta, GA 30901-2771 | 2009-10-04 |
| 1649292905 | Susan Marie Klein | Physician Assistant | Vamc 1 Freedom Way, Augusta, GA 30901 | 2006-07-24 |
| 1053339663 | Joseph Stanley Soparas | Physician Assistant | 1 Freedom Way # 291, Augusta, GA 30904-6258 | 2006-07-18 |
| 1841278363 | Julie A. Zale | Physician Assistant | 219 Capitol St, Suite 2, Augusta, ME 04330-6235 | 2006-01-04 |
| 1487255493 | Rachel Muehlfeld | Physician Assistant | 1701 Magnolia Way Ste 101, Augusta, GA 30909-9484 | 2020-11-05 |
| 1881291367 | Gilbert Lee Lewis Jr. | Physician Assistant | 127 Telfair St, Augusta, GA 30901-2590 | 2020-10-07 |
| 1922640531 | Brittany Blocker | Physician Assistant | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2019-10-15 |
| Find all providers in AUGUSTA | ||||
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| 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.