Active NPI
Douglas M Morong, PA-C
- Physician Assistant
- Jackman, ME
National Provider Identifier
1295787448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-503
- Practice address
- 376 Main St
Jackman, ME 04945-5214 - Phone
- (207) 668-2691
- Fax
- (207) 668-7605
- NPI assigned
- May 16, 2006
- Last updated
- Jul 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-503 | ME | Primary |
Addresses
Primary practice location
376 Main St
Jackman, ME 04945-5214
Mailing address
376 Main St
Jackman, ME 04945-5214
Phone (207) 668-2691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-503 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orono Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Maintenance Organization
- Orono, ME
- NPI 1295784486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1295787448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 MAIN ST",
"city": "JACKMAN",
"state": "ME",
"postal_code": "049455214",
"telephone_number": "207-668-2691",
"fax_number": "207-668-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 MAIN ST",
"city": "JACKMAN",
"state": "ME",
"postal_code": "049455214",
"telephone_number": "207-668-2691",
"fax_number": "207-668-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORONG",
"first_name": "DOUGLAS",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA-503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackman, ME
- Theresa M. Crawford
- Patricia S Doyle, MD
- Jeffrey A Hobbs, PAC
- Maine School Administrative District #12
- Mainegeneral Medical Center (Jackman Region Health Center)
- Kinjalbahen Nayak
- North Country Associates, Inc (Northland Living Center)
- Penobscot Community Health Center (Forest Hills School)
- Penobscot Community Health Center (Jackman Urgent Care Center)
- Penobscot Community Health Center (Jackman Community Health Center)
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.