KASSIE A SKVORAK (NPI# 1316496052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316496052 |
| Entity Type | Individual |
| Full Name | KASSIE A SKVORAK |
| Other Name | KASSIE REUTLINGER |
| Credential | PA-C |
| Practice Address |
11 Academy Rd Monmouth ME 04259-7035 |
| Mailing Address |
Po Box 9746 Portland ME 04104-5040 |
| Practice Telephone | 2075243501 |
| Practice Fax Number | 2079339645 |
| Mailing Telephone | 2077913888 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1648 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1316496052 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 153 Us Route 1, Scarborough, ME 040749052 | 2077998596 | |
| 180 Church Hill Rd Ste 1, Leeds, ME 042633418 | (207) 524-3501 | 2075242093 |
| 7 Main St, Turner, ME 042824138 | 2075243501 | 2072252692 |
| Street Address |
11 ACADEMY RD |
| City | MONMOUTH |
| State | ME |
| Zip Code | 04259-7035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245208289 | John M Yindra | Family Medicine | 11 Academy Rd, Monmouth, ME 04259-7035 | 2006-03-08 |
| 1073984225 | Julie Gerow | Nurse Practitioner | 11 Academy Rd, Monmouth, ME 04259-7035 | 2015-10-14 |
| 1861773749 | Nora Jeanne Gross | Social Worker | 11 Academy Rd, Monmouth, ME 04259-7035 | 2011-09-06 |
| 1427338698 | Anthony S Martin | Physician Assistant | 11 Academy Rd, Monmouth, ME 04259-7035 | 2011-08-19 |
| 1912299397 | Megan Marie Hutchins | Social Worker | 11 Academy Rd, Monmouth, ME 04259-7035 | 2011-05-04 |
| 1528377454 | Dfd Russell Medical Center Inc | Clinic/Center | 11 Academy Rd, Monmouth, ME 04259-7035 | 2010-09-27 |
| 1568799831 | Jodie B Kaufman | Nurse Practitioner | 11 Academy Rd, Monmouth, ME 04259-7035 | 2009-11-07 |
| 1023195633 | Lindsay S Harnden | Physician Assistant | 11 Academy Rd, Monmouth, ME 04259-7035 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322022 | A Mindful Eye LLC | Occupational Therapist | 15 Chick Drive, Monmouth, ME 04259 | 2019-12-05 |
| 1477984755 | Jamey Roy Cotnoir | Occupational Therapist | 15 Chick Dr., Monmouth, ME 04259 | 2013-12-11 |
| 1013960673 | Monmouth Rescue Association, Inc | Ambulance | 847 Main St, Monmouth, ME 04259 | 2006-05-17 |
| 1871558171 | Core Physical Therapy, Pa | Physical Therapist | 392 Route 202, Monmouth, ME 04259 | 2006-04-19 |
| 1588990550 | Anna Mcelhaney | Occupational Therapy Assistant | 392 Us Route 202, Monmouth, ME 04259 | 2009-10-27 |
| 1518171396 | Spectrum Occupational Therapy Services | Occupational Therapist | 392 Us Route 202, Monmouth, ME 04259 | 2007-05-10 |
| 1619105723 | Joyce Lagasse | In Home Supportive Care | 50 Morrill Ln, Monmouth, ME 04259-6416 | 2009-06-26 |
| 1376659342 | Roberta Jacqueline Mullan | Counselor | 256 Cressey Rd, Monmouth, ME 04259-6804 | 2006-08-22 |
| 1639352057 | David W. Varney, Dc, Pa | Chiropractor | 6 Blue Rd, Monmouth, ME 04259-6901 | 2007-12-07 |
| 1790101855 | Jessica J Belanger | Massage Therapist | 6 Blue Rd, Monmouth, ME 04259-6901 | 2014-03-13 |
| Find all providers in zip 04259 | ||||
| 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 |
|---|---|---|---|---|
| 1427338698 | Anthony S Martin | Physician Assistant | 11 Academy Rd, Monmouth, ME 04259-7035 | 2011-08-19 |
| 1699786806 | Lori S. G. Verseman | Physician Assistant | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2006-08-11 |
| 1881680478 | Kevin J Kusler | Physician Assistant | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2005-09-20 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.