JESSE R CLOUTIER (NPI# 1023466562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023466562 |
| Entity Type | Individual |
| Full Name | JESSE R CLOUTIER |
| Credential | PA |
| Practice Address |
50 Union St Suite 2100 Ellsworth ME 04605-1534 |
| Practice Telephone | 2076645770 |
| Practice Fax Number | 2076645777 |
| Mailing Telephone | 2076645770 |
| Mailing Fax Number | 2076645777 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1602 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
50 UNION ST SUITE 2100 |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862020 | Jeffrey S Graham | Urology | 50 Union St, Suite 1400, Ellsworth, ME 04605-1534 | 2005-06-21 |
| 1215559240 | Taylor Leavitt | Nurse Practitioner | 50 Union St, Ellsworth, ME 04605-1534 | 2020-05-13 |
| 1053878371 | Maine Medical Services LLC | Internal Medicine | 50 Union St, Ellsworth, ME 04605-1534 | 2019-02-22 |
| 1306318522 | Jalisa Patten | Speech-Language Pathologist | 50 Union St, Ellsworth, ME 04605-1534 | 2018-12-28 |
| 1538638432 | Hospital Medicine Services of Maine LLC | Hospitalist | 50 Union St, Ellsworth, ME 04605-1534 | 2018-11-20 |
| 1922470525 | Peter Copithorne | Orthopaedic Surgery | 50 Union St, Ellsworth, ME 04605-1534 | 2015-10-22 |
| 1437529393 | Maine Coast Hand and Shoulder, P.C. | Orthopaedic Surgery | 50 Union St, Suite 2200, Ellsworth, ME 04605-1534 | 2015-10-04 |
| 1598152035 | Maine Coast Regional Health Facilities | Pediatrics | 50 Union St, Ellsworth, ME 04605-1534 | 2015-04-22 |
| 1194139691 | Perri Huitt | Internal Medicine | 50 Union St, Ellsworth, ME 04605-1534 | 2014-06-12 |
| 1164834800 | Tess Wiskel | Emergency Medicine | 50 Union St, Ellsworth, ME 04605 | 2014-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| 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 |
|---|---|---|---|---|
| 1659994317 | Brynia Marie Westra | Physician Assistant | 50 Union St Ste 2300, Ellsworth, ME 04605-1534 | 2020-05-28 |
| 1740544626 | Craig A Hardy | Physician Assistant | 50 Union St, Ellsworth, ME 04605-1534 | 2012-06-26 |
| 1861706681 | Bradley Kent Lindstrom Jr. | Physician Assistant | 50 Union St, Ellsworth, ME 04605-1599 | 2010-08-04 |
| 1952538969 | Hilary Heron Hudson | Physician Assistant | 50 Union St, Ellsworth, ME 04605-1534 | 2009-06-17 |
| 1851543698 | Lisa M Allen | Physician Assistant | 32 Resort Way, Maine Coast Pediatrics, Ellsworth, ME 04605-1717 | 2008-10-10 |
| 1972798353 | Michelle L Brokes | Physician Assistant | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2007-09-10 |
| 1255340790 | James G Grossman | Physician Assistant | 32 Resort Way, Ellsworth, ME 04605 | 2006-08-05 |
| 1831128990 | Everett Steinbarger | Physician Assistant | 50 Union Street, Suite 2200, Ellsworth, ME 04605 | 2006-07-01 |
| 1114927654 | Shawn Aaron Mcgowan | Physician Assistant | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-07-27 |
| 1134129653 | Christena Hanson | Physician Assistant | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-07-27 |
| Find all providers in ELLSWORTH | ||||
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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.