MATTHEW PICARD (NPI# 1790070654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790070654 |
| Entity Type | Individual |
| Full Name | MATTHEW PICARD |
| Practice Address |
15 Hospital Dr Bridgton ME 04009-1156 |
| Practice Telephone | 2076473421 |
| Mailing Telephone | 2076473421 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2014-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA001280 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275504805 | Matthew Picard | Pediatrics | 1500 Forest Glen Rd, Silver Spring, MD 20910-1483 | 2006-01-31 |
| Street Address |
15 HOSPITAL DR |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003887514 | Erinn Wright | Family Medicine | 15 Hospital Dr, Bridgton, ME 04009-1156 | 2006-02-01 |
| 1013988112 | Ronald Cilley | Obstetrics & Gynecology | 15 Hospital Dr, Bridgton, ME 04009-1156 | 2006-01-28 |
| 1619947249 | Stuart Eisenberg | Internal Medicine | 15 Hospital Dr, Bridgton, ME 04009-1156 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1316435407 | Caitlin D Ambo | Counselor | 32 No High Street, Bridgton, ME 04009 | 2018-04-25 |
| 1205215290 | Brianna J Meister | Counselor | 37 No High Street, Bridgton, ME 04009 | 2015-05-22 |
| 1013120898 | Maine Administrative School District No 61 | Local Education Agency (LEA) | 900 Bridgton Road, Bridgton, ME 04009 | 2007-05-08 |
| 1114051984 | R. Andrew Derstine | Counselor | 236a Portland Rd, Bridgton, ME 04009 | 2007-03-15 |
| 1184784878 | Good Neighbors, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Sandy Creek Rd, Bridgton, ME 04009 | 2006-12-11 |
| 1578593570 | Lake Region Physical Therapy Pa | Physical Therapist | 593 Harrison Rd, Bridgton, ME 04009 | 2006-07-04 |
| 1164783452 | Kevin Jenkins | Internal Medicine | 10 Hospital Dr, Bridgton, ME 04009 | 2012-06-03 |
| 1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
| 1164611703 | Liane Muller, D.o., Pa | Clinic/Center | 63 Main St, Suite A, Bridgton, ME 04009 | 2007-10-19 |
| Find all providers in zip 04009 | ||||
| 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 |
|---|---|---|---|---|
| 1407121932 | Samuel Gagnon | Physician Assistant | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2012-03-16 |
| 1063793305 | Jed D Jankowski | Physician Assistant | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2011-08-31 |
| 1871820183 | Caroline Cappelaere Desroches | Physician Assistant | 25 Hospital Dr, Bridgton, ME 04009-1167 | 2009-11-06 |
| 1881821544 | Ronald Welch | Physician Assistant | 15 Wayside Ave, Bridgton, ME 04009-1231 | 2009-06-19 |
| 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.