JANE PELLETIER (NPI# 1235544032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235544032 |
| Entity Type | Individual |
| Full Name | JANE PELLETIER |
| Credential | PA-C |
| Practice Address |
2 Chabot St #1 Westbrook ME 04092-4817 |
| Practice Telephone | 2078579311 |
| Practice Fax Number | 2078579324 |
| Mailing Telephone | 2078579311 |
| Mailing Fax Number | 2078579324 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2015-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA348 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2 CHABOT ST #1 |
| City | WESTBROOK |
| State | ME |
| Zip Code | 04092-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770530404 | Elwood J Fox | Internal Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-05-28 |
| 1740331016 | John E Stanhope | Family Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2007-01-15 |
| 1346304367 | Michael Warren Wood | Physician Assistant | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-12-21 |
| 1669567020 | Larisa M Welch | Nurse Practitioner | 2 Chabot St, Westbrook, ME 04092 | 2006-10-03 |
| 1801990544 | Maine Centers for Healthcare | Internal Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-09-12 |
| 1134143514 | Charles S Matusovich | Nurse Practitioner | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-07-27 |
| 1063443539 | Howard L. Glass | Internal Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-07-05 |
| 1043241516 | Miguel A. Velazquez | Neuromusculoskeletal Medicine & OMM | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-07-05 |
| 1043252364 | Geraldine L. Ollila | Family Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-06-12 |
| 1538101886 | Ravi Chandrasekaran | Internal Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
| 1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
| 1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
| 1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
| 1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
| 1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
| 1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
| 1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
| 1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
| 1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
| Find all providers in zip 04092 | ||||
| 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 |
|---|---|---|---|---|
| 1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
| 1790770774 | William A. Gelinas | Physician Assistant | 123 Andover Road, Westbrook, ME 04092-3848 | 2005-09-15 |
| 1487910527 | Colleen R Chappell | Physician Assistant | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2012-04-03 |
| 1619200920 | Lauren Hart Nichols | Physician Assistant | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2009-09-18 |
| 1942491188 | Kasey L. Prunier | Physician Assistant | 123 Andover Rd, Westbrook, ME 04092-3848 | 2007-08-05 |
| 1417087958 | Candice Joan Sawyer | Physician Assistant | 40 Park Rd, Westbrook, ME 04092-3188 | 2007-03-06 |
| 1558422022 | Line C. Pelletier | Physician Assistant | 123 Andover Rd, Westbrook, ME 04092-3848 | 2006-12-12 |
| 1790896876 | Maine Medical Partners | Physician Assistant | 1 Harnois Ave, Westbrook, ME 04092-4392 | 2006-08-31 |
| 1013027382 | David A Payne | Physician Assistant | 123 Andover Rd, Westbrook, ME 04092-3848 | 2006-08-30 |
| 1235183997 | Berkeley Williams | Physician Assistant | 40 Park Rd, Westbrook, ME 04092-3188 | 2006-05-19 |
| Find all providers in WESTBROOK | ||||
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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.