- Practice location
- 22 Bramhall St, Portland, ME 04102-3134
- Phone
- 207-662-4078
- Fax
- —
- Last updated
- June 30, 2025
Amy Santerian Boutselis is a Physician Assistant, Surgical based in Portland, ME. Amy Santerian Boutselis practices in Portland, ME and has the professional credentials of PA-C. The NPI Number for Amy Santerian Boutselis is 1396467122 and holds a License No. PA2604 (ME). The current practice location address for Amy Santerian Boutselis is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 207-662-4078.
Provider Profile Details
- NPI Number
- 1396467122
- Provider Name
- Amy Santerian Boutselis
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22 Bramhall St, Portland, ME 04102-3134
- Phone Number
- 207-662-4078
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 19, 2022
- Last Update Date
- June 30, 2025
- Certification Date
- June 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Bramhall St
Portland, ME 04102-3134 - City
- Portland
- State
- Maine
- Zip
- 04102-3134
- Phone Number
- 207-662-4078
Provider Business Mailing Address Details
- Address
- 22 Bramhall St
Portland, ME 04102-3134 - City
- Portland
- State
- ME
- Zip
- 04102-3134
- Phone Number
- 207-662-4078
License Information
- License Number (1)
- PA2604
- License State (1)
- ME
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA2604
- License State (2)
- ME
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Portland, ME
View all Physician Assistant, Surgical providers in Portland →- Cynthia J Bolles, PA-CPhysician Assistant, Surgical · NPI 1326085267
- Jennifer K Arich, PA-CPhysician Assistant, Surgical · NPI 1417196577
- Joshua Abrams, PA-CPhysician Assistant, Surgical · NPI 1932832128
- Lawrence D Adrian, PA-CPhysician Assistant, Surgical · NPI 1891707493
- Melissa Blier, PA-CPhysician Assistant, Surgical · NPI 1528137726
- Ms. Allison L Baysol, PA-CPhysician Assistant, Surgical · NPI 1023433000
Frequently Asked Questions
What is the NPI number of Amy S Boutselis, PA-C?
The NPI number of Amy S Boutselis, PA-C is 1396467122. It was assigned on September 19, 2022 and is currently active in the NPPES registry.
What is the specialty of Amy S Boutselis, PA-C?
Amy S Boutselis, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in ME under license number PA2604.
Where does Amy S Boutselis, PA-C practice?
The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 207-662-4078 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396467122 directly on the NPPES registry website.