KAIDEN P TRASK (NPI# 1336703735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336703735 |
| Entity Type | Individual |
| Full Name | KAIDEN P TRASK |
| Credential | PA-C |
| Practice Address |
33 Whiting Hill Rd Brewer ME 04412-1021 |
| Mailing Address |
33 Whiting Hill Rd Ste 34 Brewer ME 04412-1022 |
| Practice Telephone | 2079737272 |
| Mailing Telephone | 2079735000 |
| Mailing Fax Number | 2079735042 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2082 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
33 WHITING HILL RD |
| City | BREWER |
| State | ME |
| Zip Code | 04412-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477538304 | Kurt Matthew Snyder | Radiology | 33 Whiting Hill Rd, Suite 1, Brewer, ME 04412-1021 | 2005-12-14 |
| 1649892571 | Alessandra Grace Guerin | Registered Nurse | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2020-05-14 |
| 1477047728 | Beatrice Ann Russell | Family Medicine | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2018-06-20 |
| 1235536319 | Northeast Radiation Oncology Pa | Radiology | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2014-12-04 |
| 1457760340 | Sriman Swarup | Internal Medicine | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2014-08-05 |
| 1629483409 | Hilal Hachem | Internal Medicine | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2014-06-30 |
| 1508206822 | Ellen A Arey | Nurse Practitioner | 33 Whiting Hill Rd, Suite 21, Brewer, ME 04412-1021 | 2013-07-01 |
| 1487999504 | Susan M Steele | Nurse Practitioner | 33 Whiting Hill Rd, Suite 33, Brewer, ME 04412-1021 | 2012-11-29 |
| 1528334406 | Chittalsinh M. Raulji | Pediatrics | 33 Whiting Hill Rd, Suite 31, Brewer, ME 04412-1021 | 2012-03-26 |
| 1760757868 | Subha Mazzone | Pediatrics | 33 Whiting Hill Rd, Suite 31, Brewer, ME 04412 | 2012-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| 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 |
|---|---|---|---|---|
| 1518051663 | Aimee G Kasperski | Physician Assistant | 451 South Main St, Brewer, ME 04412-2326 | 2006-10-03 |
| 1629074075 | Jennifer L Harvey | Physician Assistant | 735 Wilson St, Brewer, ME 04412 | 2005-06-21 |
| 1700440104 | William J Bronson | Physician Assistant | 735 Wilson St, Brewer, ME 04412-1000 | 2019-05-01 |
| 1891297255 | Christine Bell | Physician Assistant | 735 Wilson St, Brewer, ME 04412-1000 | 2018-03-01 |
| 1649720194 | Nikki R. Iozzia | Physician Assistant | 735 Wilson St, Brewer, ME 04412-1000 | 2016-10-08 |
| 1003290313 | Mary Boyd | Physician Assistant | 234 State St, Brewer, ME 04412-1519 | 2015-07-16 |
| 1740439611 | Lisa Yontz Bergmark | Physician Assistant | 735 Wilson St, Brewer, ME 04412-1000 | 2008-09-15 |
| 1871666115 | Jenny L Phillips-mills | Physician Assistant | 735 Wilson Street, Brewer, ME 04412 | 2006-11-16 |
| 1457456725 | Helen L Cox | Physician Assistant | 735 Wilson St, Brewer, ME 04412-1000 | 2006-09-13 |
| 1700895265 | Evelyn L Dempsey | Physician Assistant | 735 Wilson Street, Brewer, ME 04412 | 2006-08-05 |
| Find all providers in BREWER | ||||
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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.