Peter Anthony Guilfoyle, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1400 Issued in ME

Practice address

19 S Gorham Xing
Gorham, ME 04038-2690

Phone

(207) 535-1400

NPI assigned

Apr 10, 2006

Last updated

Oct 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VT, ME2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy HospitalGroup PAC ID 6103737812, 307 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peter.guilfoyle.1@28542.direct.athenahealth.com
• Direct secure messaging: pguilfoyle445324@direct.mmc.mainehealth.org

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.

• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  Medicare reassignment Care Compare group NPD (past)
• Northern Counties Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • St Johnsbury, VT
  • NPI 1649236225
  Medicare reassignment NPD
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  dba MaineHealth Waldo Hospital

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1265912075
  NPD
• Mercy Hospital

  dba Mercy Medical Associates

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1427313048
  NPD
• Northern Counties Health Care, Inc.

  dba Northern Express Care Newport

  • Federally Qualified Health Center (FQHC)
  • Newport, VT
  • NPI 1003564931
  NPD

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

• Mercy Hospital

  dba Mercy Medical Associates

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1427313048
  Care Compare affiliation
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  Care Compare affiliation

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1427011568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 MAIN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721699",
            "telephone_number": "207-294-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S GORHAM XING",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382690",
            "telephone_number": "207-535-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 Railroad St Ste 2",
            "address_purpose": "LOCATION",
            "city": "St Johnsbury",
            "state": "VT",
            "postal_code": "058191643",
            "country_code": "US",
            "telephone_number": "802-663-6351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 Main St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "VT",
            "postal_code": "058554415",
            "country_code": "US",
            "telephone_number": "802-995-2412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILFOYLE",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1400",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055.0031165",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104-0000105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gorham School Department
• Gorham Village Dental LLC
• Pamela Graves, CST AS-C
• Jacob David Gregoire
• Christopher Robert Guido, RPH
• Tin Ha Ngoc, MD
• Hannaford Bros Co LLC (Hannaford Supermarket & Pharmacy)
• Ashley Harmon
• Kelsey Ann Harney, D.M.D.
• Laurie A. Harriman, MA SLP-CCC

• Physician Assistant in Gorham, ME
• Providers in Gorham, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.