Individual provider Active NPI

Margaret Mary Houlehan, PA-C

  • Medical Physician Assistant
  • Skowhegan, ME
National Provider Identifier
1700849205
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2664 Issued in ME
Practice address
46 Fairview Ave Ste 111
Skowhegan, ME 04976-1481
Phone
(207) 474-0905
Fax
(207) 474-6930
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 101809 NC
Medical Physician Assistant 363AM0700X PA2664 ME Primary

Addresses

Primary practice location

46 Fairview Ave Ste 111
Skowhegan, ME 04976-1481

Mailing address

15 Ballard CT
Durham, NC 27712-2184
Phone (919) 479-9305

Other practice location 1

508 Fulton St
Durham, NC 27705-3875
Phone (919) 286-0411 ext. 5520

Other practice location 2

355 Abbott St Ste 100
Salinas, CA 93901-4484
Phone (831) 751-7070

Other practice location 3

62 Main St
Skowhegan, ME 04976-1146
Phone (207) 858-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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

Enrollment IDStateProvider typePAC IDDetails
I20231013002219 CA Practitioner - Physician Assistant 6709062821 Reassigns benefits to 1 organization
I20240702000087 ME Practitioner - Physician Assistant 6709062821 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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

State licenses

LicenseStateTypeSpecialty
59752CAMDGeneral Practice Dentistry
101809NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Redington-Fairview General Hospital CurrentSince Jul 29, 2024 Accepting new patients
Redington-Fairview General Hospital CurrentSince Jul 29, 2024 Accepting new patients
Svmhs Clinics CurrentSince Nov 1, 2023 Accepting new patients
Prescription Urgent Care, PA PastSince Apr 29, 2009 Accepting new patients
Medical Visiting Physicians PLLC PastSince Nov 1, 2007 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

355 Abbott St
Ste 100
Salinas, CA 93901
Phone (831) 751-7070

505 E Romie Ln
Ste A
Salinas, CA 93901
Phone (831) 755-1701

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

46 Fairview Ave
Ste 111
Skowhegan, ME 04976
Phone (207) 474-3320

46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293

62 Main St
Skowhegan, ME 04976
Phone (207) 858-4844

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1700849205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BALLARD CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122184",
            "telephone_number": "919-479-9305",
            "fax_number": "919-286-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FAIRVIEW AVE STE 111",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761481",
            "telephone_number": "207-474-0905",
            "fax_number": "207-474-6930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277053875",
            "country_code": "US",
            "telephone_number": "919-286-0411 x5520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Abbott St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939014484",
            "country_code": "US",
            "telephone_number": "831-751-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Main St",
            "address_purpose": "LOCATION",
            "city": "Skowhegan",
            "state": "ME",
            "postal_code": "049761146",
            "country_code": "US",
            "telephone_number": "207-858-4844",
            "fax_number": "207-858-0348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOULEHAN",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101809",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA2664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skowhegan, ME

Sources for this page

Verify at the official NPI Registry.