Active NPIIndividual provider

Donald A Dirisi Jr., PA

Physician Assistant, Medical in Biddeford, Maine

NPI Number1720124316
Practice location
46 Barra RD Ste 101, Biddeford, ME 04005-9461
Fax
207-294-3543
Last updated
January 13, 2025

Donald A. Dirisi is a Physician Assistant, Medical based in Biddeford, ME. Donald A. Dirisi practices in Biddeford, ME and has the professional credentials of PA. The NPI Number for Donald A. Dirisi is 1720124316 and holds a License No. 010518 (NY). The current practice location address for Donald A. Dirisi is 46 Barra RD Ste 101, Biddeford, ME 04005-9461 and can be reached out via phone at 207-282-5509 and via fax at 207-294-3543.

Provider Profile Details

NPI Number
1720124316
Provider Name
Donald A. Dirisi
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
46 Barra RD Ste 101, Biddeford, ME 04005-9461
Phone Number
207-282-5509
Fax Number
207-294-3543
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
January 30, 2007
Last Update Date
January 13, 2025
Certification Date
January 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Barra RD Ste 101
Biddeford, ME 04005-9461
State
Maine
Zip
04005-9461
Phone Number
207-282-5509
Fax Number
207-294-3543
Biddeford, ME 04005Get directions →

Provider Business Mailing Address Details

Address
46 Barra RD Ste 101
Biddeford, ME 04005-9461
City
Biddeford
State
ME
Zip
04005-9461
Phone Number
207-282-5509
Fax Number
207-294-3543

License Information

License Number (1)
010518
License State (1)
NY
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
PA1662
License State (2)
ME
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary
License Number (3)
PA1662
License State (3)
ME
Taxonomy (3)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Donald A Dirisi Jr., PA?

The NPI number of Donald A Dirisi Jr., PA is 1720124316. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Donald A Dirisi Jr., PA?

Donald A Dirisi Jr., PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 010518.

Where does Donald A Dirisi Jr., PA practice?

The practice location is 46 Barra RD Ste 101, Biddeford, ME 04005-9461. The office can be reached at 207-282-5509 (phone) or 207-294-3543 (fax).

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 1720124316 directly on the NPPES registry website.

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