Active NPI
Suzanne Bagin Bohlmann, PA-C
- Surgical Physician Assistant
- Biddeford, ME
National Provider Identifier
1881852150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA2058
- Practice address
- 46 Barra Rd Ste 103
Biddeford, ME 04005-9461 - Phone
- (207) 283-1126
- Fax
- (207) 294-3544
- NPI assigned
- May 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA2058 | ME | |
| Surgical Physician Assistant | 363AS0400X | PA2058 | ME | Primary |
Addresses
Primary practice location
46 Barra Rd Ste 103
Biddeford, ME 04005-9461
Mailing address
46 Barra Rd Ste 103
Biddeford, ME 04005-9461
Phone (207) 283-1126
Other practice location 1
33 Sewall St
Portland, ME 04102-2603
Phone (207) 828-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881852150 | Medicaid | ME |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201027000637 | ME | Practitioner - Physician Assistant | 4789868100 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- JS Weill Medical College, Cornell University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
46 Barra Rd
Suite 201202
Biddeford, ME 04005-9459
Phone (207) 282-3349
Hospital & facility affiliations
- Mainehealth Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2058 | ME | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Past | Accepting new patients | |
| Maine Orthopaedic Center, PA | Past | Accepting new patients |
Locations
46 Barra Rd
Ste 103
Biddeford, ME 04005
Phone (207) 283-1126
193 Main St
Norway, ME 04268
Phone (207) 743-2544
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
15 Lund Rd
Saco, ME 04072
Phone (207) 282-4210
Interoperability endpoints
- sbohlmann319521@direct.mmc.mainehealth.org
Organizations & group practices 5
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.
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Urgent Care Clinic/Center
- Portland, ME
- NPI 1265251540
-
- Orthopaedic Surgery Physician
- Portland, ME
- NPI 1568523637
-
- Clinic/Center
- Portland, ME
- NPI 1487346722
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1881852150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 BARRA RD STE 103",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059461",
"telephone_number": "207-283-1126",
"fax_number": "207-294-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 BARRA RD STE 103",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059461",
"telephone_number": "207-283-1126",
"fax_number": "207-294-3544"
}
],
"practiceLocations": [
{
"address_1": "33 Sewall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041022603",
"country_code": "US",
"telephone_number": "207-828-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOHLMANN",
"first_name": "SUZANNE",
"middle_name": "BAGIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2058",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "ME",
"license": "PA2058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881852150",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.