Provider Demographics
NPI:1144532870
Name:SIROIS, SARAH P (PA-C)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:P
Last Name:SIROIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:P
Other - Last Name:DOOLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:22 STATION AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2092
Mailing Address - Country:US
Mailing Address - Phone:207-406-7500
Mailing Address - Fax:207-618-5674
Practice Address - Street 1:22 STATION AVE STE 102
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2092
Practice Address - Country:US
Practice Address - Phone:207-406-7500
Practice Address - Fax:207-618-5674
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA1222363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1144532870Medicaid
ME001732703Medicare PIN