ELLEN N. MEDRANO (NPI# 1083738736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083738736 |
| Entity Type | Individual |
| Full Name | ELLEN N. MEDRANO |
| Other Name | ELLEN N DAGGETT-MEDRANO |
| Credential | PA-C |
| Practice Address |
180 Church Hill Rd Ste 1 Leeds ME 04263-3418 |
| Practice Telephone | 2075243501 |
| Practice Fax Number | 2075242093 |
| Mailing Telephone | 2075243501 |
| Mailing Fax Number | 2075242093 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-428 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1083738736 | 05 |
| Street Address |
180 CHURCH HILL RD STE 1 |
| City | LEEDS |
| State | ME |
| Zip Code | 04263-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801875018 | Lydia Thorp | Family Medicine | 180 Church Hill Rd Ste 1, Leeds, ME 04263-3418 | 2006-01-16 |
| 1588294391 | Anna Louise Mcconnell | Nurse Practitioner | 180 Church Hill Rd Ste 1, Leeds, ME 04263-3418 | 2020-01-21 |
| 1821637729 | Julie-anne Nolin | Nurse Practitioner | 180 Church Hill Rd Ste 1, Leeds, ME 04263-3418 | 2019-12-26 |
| 1942674742 | Kimberly Pettengill | Nurse Practitioner | 180 Church Hill Rd Ste 1, Leeds, ME 04263 | 2015-11-18 |
| 1013161066 | Miles Macguffin Brookes | Nurse Practitioner | 180 Church Hill Rd Ste 1, Leeds, ME 04263-3418 | 2008-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831455492 | Holly Jasmine Morin | Counselor | 1185 Me-106, Leeds, ME 04263 | 2012-04-09 |
| 1558509489 | Tooth Protectors Inc. | Dental Hygienist | 858 Rt 106, Leeds, ME 04263 | 2009-01-30 |
| 1881895274 | St.peters Hospital | General Acute Care Hospital | 852 River Road, Leeds, ME 04263 | 2007-05-31 |
| 1689749673 | Melissa Lynn Tremblay | Social Worker | 25 Rolling Knoll Dr, Leeds, ME 04263 | 2006-11-22 |
| 1326274051 | Tooth Protectors Too | Dental Hygienist | 858 Rt 106, Leeds, ME 04263 | 2009-06-09 |
| 1699913533 | Sabrina Toye | Dental Hygienist | 858 Rt 106, Leeds, ME 04263 | 2009-01-30 |
| 1811038177 | Larry L Catlett | Family Medicine | 306 Campbell Rd, Leeds, ME 04263-3034 | 2007-02-09 |
| 1992990642 | John Allen Greear | Respiratory Therapist, Certified | 852 River Rd, Leeds, ME 04263-3130 | 2007-09-06 |
| 1114111846 | Kathie Jane Greear | Pulmonary Function Technologist | 852 River Rd, Leeds, ME 04263-3130 | 2007-09-06 |
| 1609010784 | Rural Community Action Ministries | Case Management | 81 Church Hill Rd, Leeds, ME 04263-3402 | 2009-04-21 |
| Find all providers in zip 04263 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073962676 | Michael Young | Physician Assistant | 1791 Route 23b, Leeds, NY 12451-1546 | 2016-06-06 |
| 1932223146 | Magdalena A Zweifel | Physician Assistant | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 | 2007-03-16 |
| 1558310979 | Lynn E Lapour | Physician Assistant | 421 N Main St, Leeds, MA 01053-9764 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1073081428 | Ishah Marie Price | Physician Assistant | 30 Preble St Apt 663, Portland, ME 04101-4939 | 2018-11-04 |
| 1073056412 | Sara Burdick | Physician Assistant | 9 Healthcare Dr Ste 202, Biddeford, ME 04005-9450 | 2016-12-01 |
| 1487068565 | Andrew Cutter | Physician Assistant | 31 Annies Way, Gorham, ME 04038-2391 | 2014-06-17 |
| 1629337902 | Shannon N Moreau | Physician Assistant | 343 Us Route 1, York, ME 03909-1636 | 2012-05-08 |
| 1366769085 | David Arthur Hamel | Physician Assistant | 85 Brixham Rd, York, ME 03909-5342 | 2010-04-21 |
| 1164751152 | Elaine M Cadorette | Physician Assistant | 100 Foden Rd., West Building Suite 103, South Portland, ME 04106-2351 | 2009-12-22 |
| 1316130198 | Ronald W Kessler | Physician Assistant | 632 Brighton Ave, Portland, ME 04102-1017 | 2007-08-24 |
| 1932300142 | Ian Fm Buchan | Physician Assistant | Central Maine Partners In Health, 30 Belgrade Avenue, Auburn, ME 04210 | 2007-05-29 |
| 1316159072 | Bruce Brokaw | Physician Assistant | 400 Captain Thomas Road, Wells, ME 04090-7552 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
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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.