Individual provider Active NPI

Bonnie Jill Troubh, PA

  • Physician Assistant
  • Portland, ME
National Provider Identifier
1992003685
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA001244 Issued in ME
Practice address
1600 Congress St
Portland, ME 04102-2143
Phone
(207) 774-7751
NPI assigned
Mar 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA001244 ME Primary

Addresses

Primary practice location

1600 Congress St
Portland, ME 04102-2143

Mailing address

35 Paddock Way
Falmouth, ME 04105-1305
Phone (207) 210-6426

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000559 ME Practitioner - Physician Assistant 3577734821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1570 Main St
Suite 3
Oxford, ME 04270-3390
Phone (207) 743-7399

34 Gilman Rd
Bangor, ME 04401-3516
Phone (207) 941-8300

59 E Ave
Lewiston, ME 04240-5667
Phone (207) 784-1680

85 Western Ave
Suite 678
South Portland, ME 04106-2423
Phone (207) 774-7751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA001244MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. CurrentSince Jan 23, 2012 Accepting new patients
American Current Care P.a. CurrentSince Jan 23, 2012 Accepting new patients

Locations

34 Gilman Rd
Bangor, ME 04401
Phone (207) 941-8300

1600 Congress St
Portland, ME 04102
Phone (207) 774-5222

85 Western Ave
Ste 6
South Portland, ME 04106
Phone (207) 774-7751

Interoperability endpoints

  • Direct secure messaging: bonnietroubh@concentrahs.allscriptsdirect.net

Organizations & group practices 3

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": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1992003685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PADDOCK WAY",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051305",
            "telephone_number": "207-210-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022143",
            "telephone_number": "207-774-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUBH",
        "first_name": "BONNIE",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA001244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.