NPIMap

Organization Active NPI

Pediatric Associates of Lewiston P.a.

  • Pediatrics Physician
  • Lewiston, ME
National Provider Identifier
1184709495
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC ASSOCIATES OF LEWISTON P.A.
Practice address
33 Mollison Way
Lewiston, ME 04240-5805
Phone
(207) 784-5782
Fax
(207) 786-5756
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Dan Hett
Title
Practice Administrator
Phone
(207) 784-5782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

33 Mollison Way
Lewiston, ME 04240-5805

Mailing address

33 Mollison Way
Lewiston, ME 04240-5805
Phone (207) 784-5782

Other identifiers 1

IdentifierTypeStateIssuer
134370000MedicaidME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0885112Pediatric Associates of Lewiston PA33 Mollison Way, Lewiston, ME 04240ComplianceFeb 23, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: caitlinwiscount@palpa.allscriptsdirect.net
  • Direct secure messaging: jenniferarchibald@palpa.allscriptsdirect.net
  • Direct secure messaging: michaelpayne@palpa.allscriptsdirect.net
  • Direct secure messaging: astridriverarodriguez@palpa.allscriptsdirect.net
  • Direct secure messaging: lindaglass@palpa.allscriptsdirect.net
  • Direct secure messaging: georgeglass@palpa.allscriptsdirect.net
  • Direct secure messaging: jessicabarnes@palpa.allscriptsdirect.net
  • Direct secure messaging: almaspatankar@palpa.allscriptsdirect.net
  • Direct secure messaging: amandabowden@palpa.allscriptsdirect.net
  • Direct secure messaging: ericamiller@palpa.allscriptsdirect.net
  • Direct secure messaging: jessicamusoni@palpa.allscriptsdirect.net
  • Direct secure messaging: kevinstrong@palpa.allscriptsdirect.net
  • Direct secure messaging: kathlynwilde@palpa.allscriptsdirect.net
  • Direct secure messaging: melissagowans@palpa.allscriptsdirect.net
  • Direct secure messaging: addiemckenzie@palpa.allscriptsdirect.net
  • Direct secure messaging: gerardrubin@palpa.allscriptsdirect.net
  • Direct secure messaging: colbeybowen@palpa.allscriptsdirect.net
  • Direct secure messaging: jenniferkaserman@palpa.allscriptsdirect.net
  • Direct secure messaging: wadehamilton@palpa.allscriptsdirect.net
  • Direct secure messaging: ericarice@palpa.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1184709495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MOLLISON WAY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405805",
            "telephone_number": "207-784-5782",
            "fax_number": "207-786-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MOLLISON WAY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405805",
            "telephone_number": "207-784-5782",
            "fax_number": "207-786-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF LEWISTON P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "HETT",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "207-784-5782"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134370000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.