DOUGLAS LEE KAVANAUGH (PA-C) – Medical Physician Assistant, NPI 1447201165

DOUGLAS LEE KAVANAUGH (PA-C) is a healthcare provider. based in Brewer, Maine. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA561 (ME). The NPI Number for DOUGLAS LEE KAVANAUGH (PA-C) is 1447201165

Main info

Male
Name
DOUGLAS LEE KAVANAUGH (PA-C)
NPI
1447201165
Phone
(207) 973-5035
Address
43 WHITING HILL RD
Enumeration Date
15 May 2006
Last Update Date
12 January 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DOUGLAS LEE KAVANAUGH (PA-C)

  • Northern Light Health Home Office, 43, Whiting Hill Road, Brewer, Penobscot County, Maine, 04412, United States

    BREWER, ME 04412

    Phone: (207) 973-5035

    Type: Mailing

  • 1, Northeast Drive, Bangor, Penobscot County, Maine, 04401, United States

    EMMC - NORTHEAST CARDIOLOGY ASSOCIATES

    BANGOR, ME 04401

    Phone: (207) 275-3800

    Fax: (207) 275-3803

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04412)

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Reviews

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Frequently asked questions

How do payers reference DOUGLAS LEE KAVANAUGH (PA-C)?
For DOUGLAS LEE KAVANAUGH (PA-C), use NPI 1447201165 as the unique 10-digit identifier.
Is DOUGLAS LEE KAVANAUGH (PA-C) still an active registrant?
DOUGLAS LEE KAVANAUGH (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to DOUGLAS LEE KAVANAUGH (PA-C)?
DOUGLAS LEE KAVANAUGH (PA-C)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Maine is DOUGLAS LEE KAVANAUGH (PA-C) registered?
Use Brewer, Maine as the headline location for DOUGLAS LEE KAVANAUGH (PA-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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