MR. REID KINCAID (NPI# 1508952813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508952813 |
| Entity Type | Individual |
| Full Name | MR. REID KINCAID |
| Other Name | MR. ASHLEY REID KINCAID |
| Credential | PA-C |
| Practice Address |
250 Arsenal St Augusta ME 04330-5742 |
| Mailing Address |
581 S Strong Rd Farmington ME 04938-5108 |
| Practice Telephone | 2077797484 |
| Practice Fax Number | 2072876123 |
| Mailing Telephone | 2077789901 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA769 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | LICENSE | PA769 | 01 |
| Street Address |
250 ARSENAL ST |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319566 | State of Maine | Psychiatric Hospital | 250 Arsenal St, Augusta, ME 04333-0011 | 2005-07-08 |
| 1427686484 | Karen Sherlock | Registered Nurse | 250 Arsenal St, Augusta, ME 04330-3599 | 2020-03-27 |
| 1316592892 | Demetra Keith | Nurse Practitioner | 250 Arsenal St, Augusta, ME 04330-5742 | 2019-08-01 |
| 1730732967 | Jorie W Ohlson | Nurse Practitioner | 250 Arsenal St, Augusta, ME 04330-3599 | 2019-07-17 |
| 1144766734 | Jason Grundstrom-whitney | Counselor | 250 Arsenal St, Augusta, ME 04330-5742 | 2017-01-06 |
| 1053781492 | Kelly Lemieux Dudley | Nurse Practitioner | 250 Arsenal St, Augusta, ME 04330-5742 | 2015-09-28 |
| 1801263520 | Sarah Perry | Pharmacist | 250 Arsenal St, Augusta, ME 04330-5742 | 2015-08-28 |
| 1285027318 | Lorraine Zamudio | Psychologist | 250 Arsenal St, Augusta, ME 04330-5742 | 2015-03-13 |
| 1962819201 | Susan Fasulo | Social Worker | 250 Arsenal St, State House Station 11, Augusta, ME 04330-5742 | 2014-07-18 |
| 1003042185 | Regana Contini Sisson | Psychiatry & Neurology | 250 Arsenal St, Augusta, ME 04333-0011 | 2009-06-03 |
| 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 |
| 1083687024 | Jarrod John Henry | Physician Assistant | 12 Shuman Ave, Augusta, ME 04330-6020 | 2006-02-09 |
| 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 |
| 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.