Paula J Dalzell-Kenney, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA176 Issued in ME

Practice address

250 Arsenal Street
Augusta, ME 04333-0011

Phone

(207) 624-4657

Fax

(207) 287-6123

NPI assigned

Jun 27, 2008

Last updated

Jun 27, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• State of Maine

  dba Riverview Psychiatric Hospital

  • Psychiatric Hospital
  • Augusta, ME
  • NPI 1053319566
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1629230982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ARSENAL STREET",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043330011",
            "telephone_number": "207-624-4657",
            "fax_number": "207-287-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ARSENAL STREET",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043330011",
            "telephone_number": "207-624-4657",
            "fax_number": "207-287-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALZELL-KENNEY",
        "first_name": "PAULA",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ruth Daggett, WHC N.P.
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• Tommy Daigle, RRT
• Dale Rodrigue Eyecare Center, Inc
• Patrick Raphael Daly, MD
• John Dana, LADC
• Eric Daniels
• Mercy Danso-Aboagye, MD
• Marie Dardeno, DO
• Raha Dayow Daud

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.