Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Theodore J Pettengill, PA
Physician Assistant in Sherman, ME · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1033187596
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Registry record
Entity type Individual (Type 1)
Name Theodore J Pettengill
Credential PA
Sex Male
Practice address 226 Main Street, Sherman, ME, 04776
Phone (207) 365-4335
Fax (207) 365-4336
Enumeration date Mar 10, 2006
Last updated in NPPES May 21, 2013
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA048 (ME) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA48 (ME) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250940099 | Medicaid | ME | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Theodore Pettengill?
Theodore Pettengill is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-21.