Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gordon Loughlin Hazen, PA

Individual provider Physician Assistant · NPI 1689600298

Gordon Loughlin Hazen, PA is a Physician Assistant in Portland, Maine. Qualified in 1991, 35 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine and New York.

Years since qualifying
35
Licensed in
ME, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 71 Prospect Ave, Hudson, NY 12534-2907 — (518) 697-3555

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2928 (ME)
Physician Assistant Taxonomy 363A00000X · Licence 004258 (NY)

Record details

NPI number1689600298
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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