Active NPI
Stephen Jon Doyle, PA-C
- Physician Assistant
- Augusta, ME
National Provider Identifier
1679687461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-589
- Practice address
- 1 VA Center
MC 116a - U.S. Department of Veterans Affairs
Augusta, ME 04330 - Phone
- (207) 623-8411
- Fax
- (207) 621-7359
- NPI assigned
- Aug 18, 2006
- 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-589 | ME | Primary |
Addresses
Primary practice location
1 VA Center
MC 116a - U.S. Department of Veterans Affairs
Augusta, ME 04330
Mailing address
111 Gayton LN
Winthrop, ME 04364-3725
Phone (207) 623-8411
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA-589 | ME | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679687461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 GAYTON LN",
"city": "WINTHROP",
"state": "ME",
"postal_code": "043643725",
"telephone_number": "207-623-8411",
"fax_number": "207-621-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VA CENTER",
"address_2": "MC 116A - U.S. DEPARTMENT OF VETERANS AFFAIRS",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "04330",
"telephone_number": "207-623-8411",
"fax_number": "207-621-7359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "STEPHEN",
"middle_name": "JON",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA-589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.