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Deactivated NPI 1730171364 Deactivated / Inactive NPI Female Practitioner

Phyllis Buchanan , PA-C

Physician Assistant • Waldoboro, ME

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phyllis Buchanan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2005
NPI Deactivation Date March 13, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Phyllis Buchanan, PA-C was a registered Physician Assistant practicing in Waldoboro, ME. Throughout an active medical career spanning 13 years, Phyllis Buchanan provided care at the practice location at 592 W MAIN ST until profile deactivation on 2018-03-13.

Practice Location & Contact Primary Location

Practice Address

592 W Main St

Waldoboro, ME 045726030

Telephone 2078326394
Fax 2078324392
Associated Practice Facility / Clinic
🏢 Mainehealth Facility NPI 1962573337

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Waldoboro, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Waldoboro, ME (992 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ME PA-603

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Jennifer Oddleifson , PA-C

Physician Assistant

NPI 1013918036

Physician Assistant (Certified)

Brenda Hamilton , LCSW

Social Worker - Clinical

NPI 1134918220

Licensed Clinical Social Worker

Katherine Ames , LCSW

Social Worker - Clinical

NPI 1215125802

Licensed Clinical Social Worker

Dr. Lisa Stout , DO

Family Medicine

NPI 1346549979

Doctor of Osteopathic Medicine (D.O.)

Dr. John Dickens , MD

General Practice

NPI 1437159233

Doctor of Medicine (M.D.)

Alexis Horton , PA

Physician Assistant

NPI 1467278457

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 13, 2018

Record deactivated on March 13, 2018

NPI Profile Active September 18, 2008

NPI status registered as active in NPPES database

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Updated Practice Location September 18, 2008

Registered at 592 W MAIN ST, WALDOBORO, ME 045726030 (Tel: 2078326394)

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Updated Business Mailing Address September 18, 2008

Registered at PO BOX 680, WALDOBORO, ME 045720680 (Tel: 2078326394)

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Provider Name / Credentials Updated September 18, 2008

Recorded as PHYLLIS BUCHANAN, PAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2008

Physician Assistant (License #PA-603 in ME)

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Initial NPI Registration & Enumeration August 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730171364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2005
Last Update: September 18, 2008
Deactivation Date: March 13, 2018

Mailing Address

Po Box 680

Waldoboro, ME 045720680

Phone: 2078326394

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.