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

Individual provider Physician Assistant · NPI 1144892225

Kathleen Virginia Lonergan, PA-C is a Physician Assistant in South Portland, Maine. Qualified in 2021, 5 years ago. Works from 3 locations. Licensed in Maine, New York and Virginia.

Years since qualifying
5
Licensed in
ME, NY, VA
In the registry since
2021
Specialties on file
4
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

119 Gannett Dr
South Portland, ME 04106-6942
Phone: (207) 773-0040
Fax: (207) 661-4630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3959 Broadway, New York, NY 10032-1559 — (212) 305-5437
  • 3300 Gallows Rd, Falls Church, VA 22042-3307 — (703) 776-4002

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA2921 (ME)
Physician Assistant Taxonomy 363A00000X · Licence 027368 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110009039 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA2921 (ME)

Record details

NPI number1144892225
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 16, 2021
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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