BRANDY M MCKENNEY (NPI# 1659458511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659458511 |
| Entity Type | Individual |
| Full Name | BRANDY M MCKENNEY |
| Credential | PA-C |
| Practice Address |
69 Us Route 1 Scarborough ME 04074-9374 |
| Mailing Address |
436 Bridge St Westbrook ME 04092-3185 |
| Practice Telephone | 2078838100 |
| Mailing Telephone | 2078566455 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-755 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
69 US ROUTE 1 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-9374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225038805 | David Merrill | Family Medicine | 69 Us Route 1, 6 Nonesuch Rd, Scarborough, ME 04074-9374 | 2005-07-26 |
| 1598934895 | Health Care Today Associates Pa | Clinic/Center | 69 Us Route 1, 6 Science Park Road, Scarborough, ME 04074-9374 | 2008-02-21 |
| 1770648685 | Marie T Richard | Nurse Practitioner | 69 Us Route 1, 6 Science Park Rd, Scarborough, ME 04074-9374 | 2006-12-22 |
| 1881767846 | Maine Ear Nose & Throat Center LLC | Otolaryngology | 69 Us Route 1, Scarborough, ME 04074-9374 | 2006-11-16 |
| 1023121316 | James J Richard | Family Medicine | 69 Us Route 1, Scarborough, ME 04074-9374 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| 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 |
|---|---|---|---|---|
| 1073586491 | Sara M Hoffman | Physician Assistant | 153 Us Route 1, Scarborough, ME 04074 | 2006-02-08 |
| 1487134284 | Amanda R Schlosky | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2018-08-21 |
| 1972911659 | David J. Spach | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2014-07-26 |
| 1346599958 | Brooke K Maden | Physician Assistant | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2012-08-29 |
| 1376821363 | Anne Marie Richardson | Physician Assistant | 49 Spring St, Scarborough, MA 04074 | 2011-07-26 |
| 1740582691 | Amanda L Schweizer | Physician Assistant | 96 Campus Drive, Suite 2c, Scarborough, ME 04074 | 2010-11-29 |
| 1730413410 | Anne M Rosenberg | Physician Assistant | 49 Spring Street, Scarborough, ME 04074 | 2009-09-28 |
| 1558529776 | Jesse Q Roberts | Physician Assistant | 49 Spring St, 1st Floor, Scarborough, ME 04074-8926 | 2008-05-23 |
| 1922298470 | Jaime B Fairfield | Physician Assistant | 100 Campus Dr, Suite 108, Scarborough, ME 04074-7171 | 2007-07-31 |
| 1265550990 | Samuel E Umbriaco | Physician Assistant | 96 Campus Dr, Scarborough, ME 04074 | 2007-03-27 |
| Find all providers in SCARBOROUGH | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
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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.