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

Individual provider Physician Assistant · NPI 1033187596

Theodore J Pettengill, PA is a Physician Assistant in Sherman, Maine. Licensed in Maine. Registered with an NPI since 2006.

Licensed in
ME
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

226 Main St
Sherman, ME 04776-0000
Phone: (207) 365-4335
Fax: (207) 365-4336
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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 PA48 (ME)
Physician Assistant Taxonomy 363A00000X · Licence PA048 (ME)

Record details

NPI number1033187596
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 10, 2006
Last updated in NPPESMay 21, 2013