Michael Christopher Verville, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA001196 Issued in ME

Practice address

10 High St
Ste. 105
Lewiston, ME 04240-7653

Phone

(207) 795-5710

Fax

(207) 795-2559

NPI assigned

Sep 27, 2007

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in ME

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mverville257589@direct.mmc.mainehealth.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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.

• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487
  Medicare reassignment NPD
• Maine Medical Partners

  • Surgery Physician
  • Portland, ME
  • NPI 1285738310
  Medicare reassignment
• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment
• Central Maine Medical Center

  • Community/Retail Pharmacy
  • Lewiston, ME
  • NPI 1033874458
  NPD
• Maine Medical Partners

  • Orthopaedic Trauma Physician
  • Portland, ME
  • NPI 1124335591

  Surgical

  NPD
• Maine Medical Partners

  • Surgery Physician
  • Scarborough, ME
  • NPI 1346687167
  NPD
• Mainehealth

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

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1265912067
  NPD
• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1083949184
  NPD (past)
• Connie J Campbell, MD, PLLC

  • Surgery Physician
  • Manchester, NH
  • NPI 1306878749
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1770770349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "address_2": "STE. 105",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407653",
            "telephone_number": "207-795-5710",
            "fax_number": "207-795-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "address_2": "STE. 105",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407653",
            "telephone_number": "207-795-5710",
            "fax_number": "207-795-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERVILLE",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA001196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435195399",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari Vanderhorn, LMT
• Emilie Varle
• Sarah Elizabeth Varney, CRNA
• Vein and Wound Care PA
• Cecile J Velilla, LCSW
• Michael Normand Verville, ATC
• Roberto Javier Vidri Alonso-Rochi, M.D.
• Gregory Violette, DPT
• Meredith J Vogel, LMSW-CC
• Diana Vonhallett, CCC SLP SPEECH PATHO

• Surgical Physician Assistant in Lewiston, ME
• Providers in Lewiston, 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 Oct 13, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.