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

Individual provider Medical Physician Assistant · NPI 1619315819

Samuel Emerson Hazard, PA-C is a Physician Assistant in Portland, Maine. Qualified in 2013, 13 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Maine.

Years since qualifying
13
Licensed in
MA, ME
In the registry since
2013
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

22 Bramhall St Rm 2218
Portland, ME 04102-3134
Phone: (207) 662-5610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2014 Washington St, Newton, MA 02462-1607 — (617) 243-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA376 (ME)
Medical Physician Assistant Taxonomy 363AM0700X (MA)

Record details

NPI number1619315819
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 10, 2013
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 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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