Individual provider Active NPI

Jane E Tawney, PA-C

  • Medical Physician Assistant
  • Bar Harbor, ME
National Provider Identifier
1306917612
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA062 Issued in ME
Practice address
8 Wayman LN
Womens Health Center
Bar Harbor, ME 04609-1649
Phone
(207) 288-8100
Fax
(207) 288-8427
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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 PA062 ME Primary

Addresses

Primary practice location

8 Wayman LN
Womens Health Center
Bar Harbor, ME 04609-1649

Mailing address

10 Wayman LN
Mount Desert Island Hospital Organization
Bar Harbor, ME 04609-1625
Phone (207) 288-5081

Other identifiers 1

IdentifierTypeStateIssuer
PA062OtherMELICENSE

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

State licenses

LicenseStateTypeSpecialty
PA062MEMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1306917612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WAYMAN LN",
            "address_2": "MOUNT DESERT ISLAND HOSPITAL ORGANIZATION",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091625",
            "telephone_number": "207-288-5081",
            "fax_number": "207-288-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WAYMAN LN",
            "address_2": "WOMENS HEALTH CENTER",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091649",
            "telephone_number": "207-288-8100",
            "fax_number": "207-288-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWNEY",
        "first_name": "JANE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA062",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bar Harbor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.