PAIGE STACKPOLE (NPI# 1447770458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447770458 |
Entity Type | Individual |
Full Name | PAIGE STACKPOLE |
Other Name | PAIGE LAPOINTE |
Credential | PA-C |
Practice Address |
593 Center St Auburn ME 04210 |
Mailing Address |
60 High St # Y1 Lewiston ME 04240-7616 |
Practice Telephone | 2077956543 |
Mailing Telephone | 2077956543 |
Mailing Fax Number | 2077950488 |
Enumeration Date | 2017-06-21 |
Last Update Date | 2020-02-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PA1712 | ME | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1712 | ME | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 1447770458 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
287 Main St Ste 302, Lewiston, ME 042407056 | 2077956543 | 2077950488 |
735 Wilson St, Brewer, ME 04412 | 2079891567 | 2079892286 |
Street Address |
593 CENTER ST |
City | AUBURN |
State | ME |
Zip Code | 04210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144687054 | Central Maine Medical Center | Clinic/Center | 593 Center St, Auburn, ME 04210-6323 | 2016-01-22 |
1861844300 | Central Maine Apothecary Ventures | Pharmacy | 593 Center St, Auburn, ME 04210-6323 | 2016-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
Find all providers in zip 04210 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659575090 | Carol E., Gaines | Physician Assistant | 1425 Moriah Trce, Auburn, GA 30011-9637 | 2007-06-11 |
1568550341 | Laura M. Glaser | Physician Assistant | 15 Gracelawn Rd Ste 101, Auburn, ME 04210 | 2006-10-10 |
1982703732 | Gregory H Bell | Physician Assistant | 30308 104th Ave Se, Auburn, WA 98092-2546 | 2006-09-21 |
1942229588 | Cheryl Ann Newren | Physician Assistant | 29247 54th Pl S, Auburn, WA 98001-2157 | 2006-07-18 |
1356394761 | Bahgat Hamdi Abdelaziz | Physician Assistant | 132 North St, Auburn, NY 13021-1829 | 2006-05-18 |
1851899058 | Linh Huynh Libuit | Physician Assistant | 202 N Division St, Auburn, WA 98001-4939 | 2018-01-23 |
1316323868 | Matt G Marko | Physician Assistant | 17 Lansing St, Auburn, NY 13021 | 2015-08-07 |
1689970196 | Gabriel Assaad Maalouf II | Physician Assistant | 11795 Education St, Suite 224, Auburn, CA 95602-2454 | 2011-01-31 |
1386833317 | Mindy L Puri | Physician Assistant | 690 Minot Avenue, Auburn, ME 04210 | 2007-10-16 |
1811038011 | Robin H Fuller | Physician Assistant | 37 W Garden St, Suite 105, Auburn, NY 13021-2662 | 2007-02-09 |
Find all providers in AUBURN |
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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.