June Fitzpatrick, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA001067 Issued in ME

Practice address

144 State St
Portland, ME 04101-3776

Phone

(207) 879-3771

NPI assigned

Oct 12, 2006

Last updated

Jul 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Maine Orthopaedic Center, PA

  • Orthopaedic Surgery Physician
  • Portland, ME
  • NPI 1568523637
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1316036882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ABENAKI WAY",
            "city": "KENNEBUNKPORT",
            "state": "ME",
            "postal_code": "040465737",
            "telephone_number": "207-967-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 STATE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013776",
            "telephone_number": "207-879-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "JUNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA001067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110230100",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "PA001067",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1044464",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "ANTHEM",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Gabrielle Fitzgerald, LCSW
• Sean P Fitzgerald, PTA
• Thomas J. Fitzgerald, M.ED
• Timothy Louis Fitzgerald, M.D.
• Toby M Fitzgerald, DO
• Sean M Fitzpatrick, LCSW
• Shannon Catherine Fitzpatrick, RN
• Phyllis Fitzsimmons-Luce, LCPC, LMHC
• Five Star Rehabilitation and Wellness Services, LLC (Ageility Physical Therapy Solutions at 75 State Street)
• Five Star Rehabilitation and Wellness Services, LLC (Ageility Physical Therapy Solutions at 75 State Street)

• Surgical Physician Assistant in Portland, ME
• Providers in Portland, ME by specialty
• Surgical Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.