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

Individual provider Physician Assistant · NPI 1942413877

Mr. Kyle M St John, PA-C is a Physician Assistant in Portland, Maine. Graduated from Stanford University School of Medicine in 2001, 25 years ago. Practices with Orthopaedic Associates of Maine PA, a 54-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and Maine.

Years since qualifying
25
Trained at
Stanford University School of Medicine
Licensed in
CA, ME
In the registry since
2007
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

33 Sewall St
Portland, ME 04102-2638
Phone: (207) 828-2100
Fax: (207) 553-7166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 14 Thomas Point Rd, Brunswick, ME 04011-3911 — (207) 828-2100
  • 22 Station Ave Ste 201, Brunswick, ME 04011-2092 — (207) 828-2100
  • 4 Commons Ave Ste A, Windham, ME 04062-5554 — (207) 828-2100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2989 (ME)
Physician Assistant Taxonomy 363A00000X · Licence PA15865 (CA)

Record details

NPI number1942413877
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 7, 2007
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Orthopaedic Associates Of Maine Pa — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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