Diane Smith Wrigley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA499 Issued in ME

Practice address

79 Schooner St
Damariscotta, ME 04543-4051

Phone

(207) 563-4777

NPI assigned

Sep 20, 2005

Last updated

Aug 28, 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

Other identifiers 1

Other names 1

• Diane L Smith Former name

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

State licenses

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1821084344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "NEWCASTLE",
            "state": "ME",
            "postal_code": "045530745",
            "telephone_number": "207-563-4511",
            "fax_number": "207-563-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SCHOONER ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434051",
            "telephone_number": "207-563-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGLEY",
        "first_name": "DIANE",
        "middle_name": "SMITH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274630099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "SMITH",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johneisha Joanna Williams, FNP-C
• Jered Lawrence Windorski, MD
• Randy Wobser
• Paige Wood, OTR/L
• Eric N. Worthing, M.D.
• Calvin C Yates, MD
• Yinlee Yoong, MD
• Olivia Kay York
• Janet C. Yost, PNP
• Cammey Young, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.