IndividualActive
John Noonan, PA-C
NPI 1164806527 · Surgical Physician Assistant · Portland, ME
Provider details
- NPI number
- 1164806527
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA1545 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
33 Sewall St
Portland, ME 04102-2603
Phone: (207) 828-2100
Street-level locationGet directions
Mailing address
33 Sewall St
Portland, ME 04102-2603
Additional practice locations (2)
- 22 Bramhall StPortland, ME 04102-3175Phone: (207) 662-0111
- 818 Congress StPortland, ME 04102-3112Phone: (207) 773-8161
Registry dates
- Enumerated
- 2015-07-16
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.