JARROD JOHN HENRY PA-C NPI 1083687024

NPI Information

NPI: 1083687024
Provider Name: JARROD JOHN HENRY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: MAINEGENERAL MEDICAL CENTER

PECOS Registration: Yes

Address:
12 SHUMAN AVE
AUGUSTA, ME
ZIP 04330
Phone: (207) 622-8600
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Jarrod John Henry, PA-C is a medical physician assistant in Augusta, ME with 25 years of experience. Jarrod John Henry, PA-C NPI is 1083687024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12 SHUMAN AVE
AUGUSTA, ME
ZIP 04330-020
Phone: (207) 622-8600
Fax: (207) 622-8601

The NPI 1083687024 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 8/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA1334	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001811207	OTHER		SECURITY BLUE
2	838363	OTHER		BS GROUP ASSIGN
3	P00320656	OTHER		MEDICARE RAILROAD
4	838363	OTHER		MEDICARE GROUP ASSIGN
5	097940LJB	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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