JOHN NOONAN JR. (NPI# 1164806527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164806527 |
| Entity Type | Individual |
| Full Name | JOHN NOONAN JR. |
| Credential | PA-C |
| Practice Address |
108 Centre St Bath ME 04530-2550 |
| Practice Telephone | 2073861800 |
| Practice Fax Number | 2073861801 |
| Mailing Telephone | 2073861800 |
| Mailing Fax Number | 2073861801 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2016-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1545 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417060906 | John J Noonan | Chiropractor | 1745 Route 9 Ste G, Halfmoon, NY 12065-2470 | 2006-08-17 |
| 1659466068 | John Donald Noonan | Radiology | 751 S Bascom Ave, Diagnostic Imaging Dept, San Jose, CA 95128 | 2006-10-03 |
| Street Address |
108 CENTRE ST |
| City | BATH |
| State | ME |
| Zip Code | 04530-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469401 | Amy K Etzweiler | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2005-07-07 |
| 1740833888 | Matthew Hincks | Nurse Practitioner | 108 Centre St, Bath, ME 04530-2550 | 2019-07-18 |
| 1043622012 | Lisa Jennifer Yeh | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2014-05-27 |
| 1386080182 | Christina Anne Kapala | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2013-05-20 |
| 1821257650 | Catherine R Fredricks-rehagen | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2008-06-06 |
| 1750550893 | Robert Lester Sheehan | Social Worker | 108 Centre St, Bath, ME 04530-2550 | 2008-02-22 |
| 1215112230 | Margaret Lynn Duhamel | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2008-01-09 |
| 1932133386 | Matthew T Hanna | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2006-07-10 |
| 1811927825 | Nancy A Hasenfus | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2006-07-04 |
| 1982634903 | James P Rines | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721230 | Eric Edward Morse | Pharmacy | Wilsens Drug Store, 114 Front St, Bath, ME 04530 | 2020-05-11 |
| 1659825818 | Lacey Andrews Gale | Social Worker | 72 Front St Ste 1, Bath, ME 04530 | 2016-08-05 |
| 1619368024 | Cathleen D Koslosky | Nurse Practitioner | 108 Centre St Ste 200, Bath, ME 04530 | 2015-02-08 |
| 1558760801 | Carrie M Werner | Naturopath | 92 Commercial St, Bath, ME 04530 | 2014-08-21 |
| 1457765125 | Mandy Winne | Massage Therapist | 9 Centre Street, Bath, ME 04530 | 2014-06-20 |
| 1295162618 | Dusty Jones | Behavioral Analyst | 995 Middle Street, Bath, ME 04530 | 2013-09-30 |
| 1659520096 | Tedford Housing-evergreen Woods | Case Management | 10 James Way, Bath, ME 04530 | 2008-09-10 |
| 1467630509 | Nancy Harris Jaeger | Social Worker | 141 Front St, Bath, ME 04530 | 2008-01-31 |
| 1740463009 | Bruce Alan Verrill | Dentist | 42 Front Street, Bath, ME 04530 | 2007-12-10 |
| 1699958249 | Myron K Krueger Md Pa | Internal Medicine | 765 High Street, Bath, ME 04530 | 2007-12-06 |
| Find all providers in zip 04530 | ||||
| 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 |
|---|---|---|---|---|
| 1679503205 | Diane M Hayes | Physician Assistant | 7573 State Route 54, Bath, NY 14810-9504 | 2006-07-03 |
| 1659343408 | Ingrid M. Sherrill | Physician Assistant | 108 Centre St, Bath, ME 04530-2550 | 2006-02-06 |
| 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.