NPI
Black Dog Medical PA
NPI 1154784668
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2016-04-01
- Last updated
- 2016-04-01
Run it in Rivvi
Check your whole roster against NPI.
Deactivated, mismatched or missing NPIs across every provider, each with the fix. The kind that get claims denied.
Check the rosterFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Is this you? Set up your practice's workspace from this NPI.
Specialties
Licenses
- License ME
- MD14569
Location
- Practice location
- 11 Madison Avenue
- City
- Lamoine ME
- Postal code
- 04605
- Phone
- (207) 200-1464
Organization contact
- Name
- Patricia Wyshak
- Title
- Owner
- Phone
- (207) 200-1464
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Lamoine, ME. 8 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
Request removal of this page
This removes the page from rivvi.ai. It does not change the record in NPPES.