JUNE FITZPATRICK PA-C NPI 1316036882

NPI Information

NPI: 1316036882
Provider Name: JUNE FITZPATRICK, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
144 STATE ST
PORTLAND, ME
ZIP 04101
Phone: (207) 879-3771
Get Directions

June Fitzpatrick, PA-C is a surgical physician assistant in Portland, ME. June Fitzpatrick, PA-C NPI is 1316036882. 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:

144 STATE ST
PORTLAND, ME
ZIP 04101-776
Phone: (207) 879-3771

The NPI 1316036882 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 10/12/2006 and was last updated on 7/23/2013.

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	363AS0400X	Physician Assistant	Surgical	PA001067	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	PA001067	OTHER	MAINE	STATE LICENCE
2	ANTHEM	OTHER	MAINE	ANTHEM
3	1044464	OTHER	MAINE	AETNA
4	S32309	MEDICARE UPIN	MAINE
5	110230100	MEDICAID	MAINE
6	AP0230	MEDICARE ID-TYPE UNSPECIFIED	MAINE

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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