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

Mr. Norman Robert Mallory, PA-C

Individual provider Medical Physician Assistant · NPI 1710086608

Mr. Norman Robert Mallory, PA-C is a Physician Assistant in Bangor, Maine. Qualified in 2000, 26 years ago. Practices with St Joseph Hospital, a 196-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
26
Licensed in
ME
In the registry since
2006
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

360 Broadway Ste 100
Bangor, ME 04401-3979
Phone: (207) 907-3550
Fax: (207) 907-3562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-692 (ME)

Record details

NPI number1710086608
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice St Joseph Hospital — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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