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THEODORE J PETTENGILL PA
NPI 1033187596
Physician Assistant in Sherman, ME

Active since March 10, 2006
226 MAIN STREET, SHERMAN, ME 04776(207) 365-4335(207) 365-4336 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore J Pettengill Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE J PETTENGILL PA (NPI 1033187596) is an individual physician assistant in Sherman, Maine, licensed in Maine (PA48) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1033187596
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHEODORE J PETTENGILLCredential: PA
Location Address226 MAIN STREETSherman, ME 04776-0000
Mailing Address226 Main StreetSherman, ME 04776-0000 · (207) 365-4335 · Fax (207) 365-4336
Phone(207) 365-4335
Fax(207) 365-4336
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateMay 21, 2013
✔ NPI 1033187596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in ME · PA48✔ Licensed in ME · PA048
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
226 MAIN STREET, Sherman, ME 04776
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Other Identifiers 4

Medicare UPINS31610ME
Medicare UPINS31610
Medicare PINAP0428ME
Medicaid250940099ME

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Pettengill's NPI number?

The NPI number for Theodore Pettengill is 1033187596. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Theodore Pettengill located?

Theodore Pettengill practices at 226 Main Street, Sherman, ME 04776. The listed phone number is (207) 365-4335.

What is Theodore Pettengill's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Theodore Pettengill was last updated on May 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.