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JESSICA ESTHER RADWAY PA-C NPI 1194020891


NPI Information

NPI: 1194020891
Provider Name: JESSICA ESTHER RADWAY, PA-C
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
51 SEWALL ST STE 1
PORTLAND, ME
ZIP 04102
Phone: (207) 774-5761
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Jessica Esther Radway, PA-C is a specialist in Portland, ME. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jessica Esther Radway, PA-C NPI is 1194020891. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

51 SEWALL ST STE 1
PORTLAND, ME
ZIP 04102
Phone: (207) 774-5761
Fax: (207) 874-7478

The NPI 1194020891 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 1/11/2011 and was last updated on 9/26/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA161551OREGONNo
2390200000XStudent in an Organized Health Care Education/Training ProgramN/ANo
3174400000XSpecialistPA1564MAINEYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.