Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SEAN MICHAEL ETHERIDGE, PA-C
ActiveSEAN MICHAEL ETHERIDGE, PA-C is a Physician Assistant healthcare provider located in SCARBOROUGH, Maine. NPI 1215547716 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SCARBOROUGH, ME
Registration Details
- NPI Number
- 1215547716
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2020 (6.0497233141444 yrs)
- Last Updated
- Jul 9, 2024
- License
-
PA2612 (ME)
Practice Information
- Address
-
92 CAMPUS DR STE CSCARBOROUGH, ME, 040747229Browse ME providers · Browse ZIP 04074
- Phone
- 2077975753
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SCARBOROUGH, ME
| Name | Credential | NPI |
|---|---|---|
| SARA M HOFFMAN | PA-C | 1073586491 |
| ANGELA LECLERC | PA-C | 1720049869 |
| RALPH W HUGHES | PA-C | 1801844949 |
| PATRICIA A JOHNSON | PA-C | 1871541912 |
| MARY COLE-ALMGREN | PA-C | 1023030293 |
| BRANDY M MCKENNEY | PA-C | 1659458511 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.