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VLADIMIR J WORMWOOD PA-C
NPI 1417026634
Physician Assistant - Surgical in Portland, ME

Active since November 06, 2006
818 CONGRESS ST, PORTLAND, ME 04102(207) 773-8161(207) 773-1489 Get Directions Write a Review

NPPES record last updated: January 21, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vladimir J Wormwood Pa-c NPPES

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

VLADIMIR J WORMWOOD PA-C (NPI 1417026634) is an individual surgical provider in Portland, Maine, licensed in Maine (PA-433) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1417026634
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameVLADIMIR J WORMWOODCredential: PA-C
Location Address818 CONGRESS STPortland, ME 04102-3112
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 773-8161
Fax(207) 773-1489
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateJanuary 21, 2013
✔ NPI 1417026634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ME · PA-433
818 CONGRESS ST, Portland, ME 04102
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINS45059ME
Medicare PINP01108085ME
Medicare PINAP0398ME
Medicare PINAP039801ME
Medicaid312580099ME

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN PAUL LABRECQUE PA-C
Physician Assistant (Surgical)
818 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 773-8161
LEONARD V SHERWOOD PA-C
Physician Assistant (Surgical)
818 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 773-8161
CHRISTOPHER A RYAN PA-C
Physician Assistant (Surgical)
818 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 773-8161
PETER C. DONOVAN PA-C
Physician Assistant (Surgical)
818 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 773-8161
GREGORY A SCHIMMACK PA-C
Physician Assistant (Surgical)
818 CONGRESS ST, MAINE HEART SURGICAL ASSOCIATES
PORTLAND, ME 04102
Cumberland County (207) 773-8161
KATHLEEN A MERCIER ANP
Nurse Practitioner (Adult Health)
818 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 773-8161
LAWRENCE D ADRIAN P.A.-C
Physician Assistant (Surgical)
818 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 773-8161
BARBARA HEYL PA-C
Physician Assistant (Surgical)
818 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 773-8161

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 Vladimir Wormwood's NPI number?

The NPI number for Vladimir Wormwood is 1417026634. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Vladimir Wormwood located?

Vladimir Wormwood practices at 818 Congress St, Portland, ME 04102. The listed phone number is (207) 773-8161.

What is Vladimir Wormwood's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Vladimir Wormwood was last updated on January 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.