Sara P Roberts, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA876 Issued in ME

Practice address

4 Sheridan Rd
Fairfield, ME 04937-3314

Phone

(207) 861-5559

Fax

(207) 861-5082

NPI assigned

Mar 1, 2006

Last updated

Jul 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sara.roberts.1@15948.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment NPD
• Mainegeneral Medical Center

  dba MaineGeneral Pharmacy

  • Community/Retail Pharmacy
  • Waterville, ME
  • NPI 1477344976
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1013984988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHERIDAN RD",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049373314",
            "telephone_number": "207-861-5559",
            "fax_number": "207-861-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHERIDAN RD",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049373314",
            "telephone_number": "207-861-5559",
            "fax_number": "207-861-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SARA",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432678499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pillars Community Outreach, Inc.
• Lucinda Rasmussen, CCC-SLP
• Andrew C Rice, MD
• Rite Aid of Maine Inc (Rite Aid Pharmacy 03671)
• Sara Rivera, PTA
• Madison Nancy Root, PT, DPT
• Shane G Savage, R.PH.
• Karren S Seely, MD
• Angie M. Shahmoradi, LCSW
• Roberta E Shaw, L.C.P.C.

• Physician Assistant in Fairfield, ME
• Providers in Fairfield, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.