MR. ANDREW F SCICHILONE (NPI# 1811435100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811435100 |
| Entity Type | Individual |
| Full Name | MR. ANDREW F SCICHILONE |
| Credential | PA-C |
| Practice Address |
335 Brighton Ave Suite 200 Portland ME 04102-2363 |
| Mailing Address |
190 Riverside St Suite 6b Portland ME 04103-1073 |
| Practice Telephone | 2076628600 |
| Practice Fax Number | 2076628668 |
| Mailing Telephone | 2076612093 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1672 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
335 BRIGHTON AVE SUITE 200 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515720 | Raymond R White | Orthopaedic Surgery | 335 Brighton Ave, Suite 200, Portland, ME 04103-2362 | 2005-08-19 |
| 1619519873 | Maine Medical Consultants PC | Internal Medicine | 335 Brighton Ave, Portland, ME 04102-2363 | 2019-10-09 |
| 1972085140 | Regina M Bowie | Registered Nurse | 335 Brighton Ave, Portland, ME 04102-2363 | 2018-09-04 |
| 1780170431 | Kayla Marlise Heins | Speech-Language Pathologist | 335 Brighton Ave, Portland, ME 04102-2363 | 2018-07-05 |
| 1700380466 | Katherine A Diconzo | Nurse Practitioner | 335 Brighton Ave, Portland, ME 04102 | 2018-03-19 |
| 1316471105 | Deborah Mcginnis | Occupational Therapist | 335 Brighton Ave, Portland, ME 04102-2363 | 2017-04-18 |
| 1134572316 | Physical and Functional Medicine Incorporated | Physical Medicine & Rehabilitation | 335 Brighton Ave, Portland, ME 04102-2363 | 2016-07-22 |
| 1710362421 | Joel P Miller | Physician Assistant | 335 Brighton Ave, Portland, ME 04102-2363 | 2015-07-23 |
| 1447646260 | Zachary Cohn | Student in an Organized Health Care Education/Training Program | 335 Brighton Ave, Portland, ME 04102-2363 | 2015-04-08 |
| 1194166835 | Alison Hastings Traver | Physician Assistant | 335 Brighton Ave, Portland, ME 04102-2363 | 2013-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1881090033 | Sanja Bukarac | Physician Assistant | 20 Buca Run, Portland, ME 04103-1427 | 2014-11-17 |
| 1194130716 | Nicole Lessard | Physician Assistant | 27 Bramhall St, Portland, ME 04102 | 2014-06-23 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1013161405 | Lorraine Walburga Gohman | Physician Assistant | 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 | 2008-11-11 |
| 1841472065 | Mandy Melissa Williams | Physician Assistant | 265 N Broadway, Portland, OR 97227-1800 | 2007-11-29 |
| 1063612455 | Donald R Noel | Physician Assistant | 10101 Se Main St Ste 3008, Portland, OR 97216-2458 | 2007-07-23 |
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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.