Alfred S Wakeman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-522 Issued in ME

Practice address

50 E Main St
Harrington, ME 04643-3043

Phone

(207) 483-4502

Fax

(207) 483-4778

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10564/brand/1/csg/1/fhir/r4
• Direct secure messaging: alfred.wakeman.1@8309.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4

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

• Eastport Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eastport, ME
  • NPI 1093752917
  NPD (past)
• Harrington Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Harrington, ME
  • NPI 1255383972
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1124071287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82",
            "city": "HARRINGTON",
            "state": "ME",
            "postal_code": "046430082",
            "telephone_number": "207-483-4502",
            "fax_number": "207-483-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E MAIN ST",
            "city": "HARRINGTON",
            "state": "ME",
            "postal_code": "046433043",
            "telephone_number": "207-483-4502",
            "fax_number": "207-483-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEMAN",
        "first_name": "ALFRED",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA-522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise County Massage LLC
• Holly Swilo, FNP-C
• The Grace Home
• Jonnye-Lea Thibodeau, CNP
• Kayla Beth Toppin Thompson, MSW
• Eleni Wakeman, CCC-SLP
• Washington County Children'S Program Board
• Meredith Whitney, LMT
• Collin F Zelinsky, PAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.