Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John A Dudley, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710238126

John A Dudley, PA-C is a Physician Assistant in Portland, Maine. Qualified in 2012, 14 years ago. Practices with Mainehealth, a 2,615-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1250 Forest Ave Ste 301
Portland, ME 04103-1889
Phone: (207) 797-5753
Fax: (207) 797-9571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5164 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5164 (AZ)

Record details

NPI number1710238126
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2012
Last updated in NPPESFebruary 18, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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