Individual provider Active NPI

Kathleen Marion-Helen Dosiek, PA-C

  • Medical Physician Assistant
  • Brunswick, ME
National Provider Identifier
1205188034
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2008 Issued in ME
Practice address
121 Medical Center Dr Ste 3100
Brunswick, ME 04011-2672
Phone
(207) 729-7939
Fax
(207) 808-7894
NPI assigned
Oct 3, 2012
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2008 ME Primary

Addresses

Primary practice location

121 Medical Center Dr Ste 3100
Brunswick, ME 04011-2672

Mailing address

121 Medical Center Dr Ste 3100
Brunswick, ME 04011-2672
Phone (207) 729-7939

Other practice location 1

24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250212000184 ME Practitioner - Physician Assistant 6901128255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

121 Medical Ctr Dr
Suite 3100
Brunswick, ME 04011-2672
Phone (207) 729-7939

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020276NYMDClinical Neuropsychologist
1049NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Mar 17, 2025 Accepting new patients
Mainehealth CurrentSince Mar 17, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Rehabilitation Associates PC Past Accepting new patients

Locations

121 Medical Center Dr
Ste 3100
Brunswick, ME 04011
Phone (207) 729-7939

24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: kdosiek899244@direct.mmc.mainehealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1205188034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MEDICAL CENTER DR STE 3100",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112672",
            "telephone_number": "207-729-7939",
            "fax_number": "207-808-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MEDICAL CENTER DR STE 3100",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112672",
            "telephone_number": "207-729-7939",
            "fax_number": "207-808-7894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Miles Center Way",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434067",
            "country_code": "US",
            "telephone_number": "207-563-4811",
            "fax_number": "207-810-2380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSIEK",
        "first_name": "KATHLEEN",
        "middle_name": "MARION-HELEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA2008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.