KENNETH G NADEAU (NPI# 1003916388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003916388 |
| Entity Type | Individual |
| Full Name | KENNETH G NADEAU |
| Credential | PA-C |
| Practice Address |
242 Brunswick St Old Town ME 04468 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2078276128 |
| Practice Fax Number | 2078275533 |
| Mailing Telephone | 2079455247 |
| Mailing Fax Number | 2079470435 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA094 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 263400099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104805258 | Kenneth Rolland Nadeau | Internal Medicine | 228 W Tyler Ave, Suite 200, West Memphis, AR 72301-4223 | 2006-01-16 |
| Street Address |
242 BRUNSWICK ST |
| City | OLD TOWN |
| State | ME |
| Zip Code | 04468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841283959 | Kay M Nash | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2005-08-24 |
| 1578194585 | Kara Middleton | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2020-01-29 |
| 1497317457 | Olivia Jasmin Greer | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2019-06-30 |
| 1215595749 | Justin J Cloukey | Nurse Practitioner | 242 Brunswick St, Old Town, ME 04468-1613 | 2019-05-30 |
| 1144791849 | Destiny R Reynolds | Nurse Practitioner | 242 Brunswick St, Old Town, ME 04468-1613 | 2018-12-07 |
| 1174020432 | Rachel Laura Kinney | Nurse Practitioner | 242 Brunswick St, Old Town, ME 04468-1613 | 2018-04-12 |
| 1992219455 | Jeffrey Walton | Physical Therapist | 242 Brunswick St, Old Town, ME 04468-1613 | 2017-11-20 |
| 1518497395 | Collin Francis Zelinsky | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2017-06-14 |
| 1407307101 | James Cash Sr. | Chiropractor | 242 Brunswick St, Old Town, ME 04468-1613 | 2016-10-18 |
| 1760932552 | Amanda Langworthy | Registered Nurse | 242 Brunswick St, Old Town, ME 04468-1613 | 2016-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770730012 | Karen Laflamme Davis | Speech-Language Pathologist | 270-a Main St, Old Town, ME 04468 | 2008-08-19 |
| 1104028281 | Susan C Hoovler | Licensed Practical Nurse | 242 Brunswick St., Penobscot Community Health Center, Old Town, ME 04468 | 2007-06-01 |
| 1326251000 | City of Old Town | Local Education Agency (LEA) | 156 Oak St., Old Town, ME 04468 | 2007-05-08 |
| 1891832382 | Nancy J. Mitchell Home Trust | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Sandy Beach Lane, Indian Island, ME 04468 | 2007-01-31 |
| 1639274913 | Dianne E Kallen | Family Medicine | 252 Brunswick St, Old Town, ME 04468 | 2006-09-13 |
| 1023510898 | Riversedge Chiropractic Wellness Center LLC | Clinic/Center | 227 Main St, Old Town, ME 04468 | 2018-03-07 |
| 1134350077 | Kaliope C. Parousis | Pediatrics | 242 Brunswick Street, Old Town, ME 04468 | 2009-07-27 |
| 1568673267 | Merla Roy | Technician, Pathology | 23 Wabanaki Way, Indian Island, ME 04468 | 2007-05-24 |
| 1154440113 | Mckay Shared Living Services | Custodial Care Facility | 240 Main Street, Old Town, ME 04468 | 2007-03-28 |
| 1225153851 | Margo Downing | Registered Nurse | 23 Wabanaki Way, Indian Island, ME 04468 | 2007-03-20 |
| Find all providers in zip 04468 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841283959 | Kay M Nash | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2005-08-24 |
| 1578194585 | Kara Middleton | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2020-01-29 |
| 1497317457 | Olivia Jasmin Greer | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2019-06-30 |
| 1518497395 | Collin Francis Zelinsky | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2017-06-14 |
| 1598940652 | Linda M Christensen | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2008-01-08 |
| 1295884716 | Charles A Roberts | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848472 | Meghan Sue Fullarton | Physician Assistant | 30 Tate Ln, Windham, ME 04062-4263 | 2020-07-14 |
| 1760009724 | Brenna Rasmussen | Physician Assistant | 88 Elmwood Rd, Auburn, ME 04210-6510 | 2020-06-25 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1134749039 | Lindsey Anne Thomsen | Physician Assistant | 15 Caitlin Drive, Gorham, ME 04038 | 2020-04-21 |
| 1336769637 | Molly Tanguay | Physician Assistant | 23 Bramhall St, Portland, ME 04102-3121 | 2020-04-16 |
| 1588206049 | Kristina Nicole Scangas | Physician Assistant | 3 Loving Kindness Way, York, ME 03909 | 2019-10-16 |
| 1821643313 | Alicia M Sanborn | Physician Assistant | 21 Enterprise Dr, Augusta, ME 04330-7894 | 2019-08-02 |
| 1558923326 | Mackenzie Graye Mcmillin | Physician Assistant | 1601 Congress St Ste 1, Portland, ME 04102-2145 | 2019-07-02 |
| 1528554805 | Kara Clukey | Physician Assistant | 5 Central Maine Xing, Gardiner, ME 04345-6320 | 2018-07-10 |
| 1932604428 | Meegan Ann Mccullagh | Physician Assistant | 9 Pleasant St., Oakland, ME 04963 | 2018-03-27 |
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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.