Active NPIIndividual provider

Ryan Dodge, PA

Physician Assistant in York, Maine

NPI Number1740717446
Practice location
343 US Route 1, York, ME 03909-1636
Fax
207-351-2601
Last updated
May 12, 2017

Ryan Dodge is a Physician Assistant based in York, ME. Ryan Dodge practices in York, ME and has the professional credentials of PA. The NPI Number for Ryan Dodge is 1740717446 and holds a License No. PA11111 (ME). The current practice location address for Ryan Dodge is 343 US Route 1, York, ME 03909-1636 and can be reached out via phone at 207-351-2600 and via fax at 207-351-2601.

Provider Profile Details

NPI Number
1740717446
Provider Name
Ryan Dodge
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
343 US Route 1, York, ME 03909-1636
Phone Number
207-351-2600
Fax Number
207-351-2601
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 12, 2017
Last Update Date
May 12, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
343 US Route 1
York, ME 03909-1636
City
York
State
Maine
Zip
03909-1636
Phone Number
207-351-2600
Fax Number
207-351-2601
York, ME 03909Get directions →

Provider Business Mailing Address Details

Address
15 Hospital Dr
York, ME 03909-1011
City
York
State
ME
Zip
03909-1011
Phone Number
207-351-2478
Fax Number
207-351-2216

License Information

License Number
PA11111
License State
ME
Taxonomy
Physician Assistant · 363A00000X · Primary

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 Ryan Dodge, PA?

The NPI number of Ryan Dodge, PA is 1740717446. It was assigned on May 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Ryan Dodge, PA?

Ryan Dodge, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA11111.

Where does Ryan Dodge, PA practice?

The practice location is 343 US Route 1, York, ME 03909-1636. The office can be reached at 207-351-2600 (phone) or 207-351-2601 (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 1740717446 directly on the NPPES registry website.

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