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

Individual provider Physician Assistant · NPI 1215547716

Sean Michael Etheridge, PA-C is a Physician Assistant in Scarborough, Maine. Qualified in 2020, 6 years ago. Practices with Mainehealth, a 2,615-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
6
Licensed in
ME
In the registry since
2020
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

92 Campus Dr Ste C
Scarborough, ME 04074-7229
Phone: (207) 797-5753
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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 PA2612 (ME)

Record details

NPI number1215547716
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2020
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address38 Academy Cir, Oakland, NJ 07436-2625

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Scarborough