VLADIMIR J WORMWOOD PA-C
NPI 1417026634
Physician Assistant - Surgical in Portland, ME
NPI Status: Active since November 06, 2006
Contact Information
818 CONGRESS ST
PORTLAND, ME
ZIP 04102
Phone: (207) 773-8161
Fax: (207) 773-1489
- Individual
- Male
- Physician Assistant
- Surgical
- PECOS Enrolled
About VLADIMIR WORMWOOD
This page provides the complete NPI Profile along with additional information for Vladimir Wormwood, a provider established in Portland, Maine with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1417026634 assigned on November 2006. The practitioner's primary taxonomy code is 363AS0400X with license number PA-433 (ME). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1417026634
- Provider Name
- VLADIMIR J WORMWOOD PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 818 CONGRESS ST PORTLAND, ME 04102
- Location Phone
- (207) 773-8161
- Location Fax
- (207) 773-1489
- Mailing Address
- 301C US ROUTE 1 SCARBOROUGH, ME 04074
- Mailing Phone
- (207) 396-8600
- Mailing Fax
- (207) 773-1489
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-06-2006
- Last Update Date
- 01-21-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA-433
- License State
- ME
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| S45059 | MEDICARE UPIN (02) | ME | |
| P01108085 | MEDICARE PIN (08) | ME | |
| AP0398 | MEDICARE PIN (08) | ME | |
| AP039801 | MEDICARE PIN (08) | ME | |
| 312580099 | MEDICAID (05) | ME |
Medicare Participation & PECOS Enrollment Status
Vladimir Wormwood is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for VLADIMIR J WORMWOOD PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 0 | 2 | 6 | 6 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 0 | 2 | 12 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 0 + 2 + 1 + 2 + 6 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1417026634 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235368283 | STEVEN PAUL LABRECQUE PA-C Individual | Physician Assistant (Surgical) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1053383547 | LEONARD V SHERWOOD PA-C Individual | Physician Assistant (Surgical) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1639112758 | CHRISTOPHER A RYAN PA-C Individual | Physician Assistant (Surgical) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1366549438 | PETER C. DONOVAN PA-C Individual | Physician Assistant (Surgical) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1538355755 | GREGORY A SCHIMMACK PA-C Individual | Physician Assistant (Surgical) | 818 CONGRESS ST MAINE HEART SURGICAL ASSOCIATES PORTLAND, ME 04102 (207) 773-8161 |
| 1790972032 | KATHLEEN A MERCIER ANP Individual | Nurse Practitioner (Adult Health) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1891707493 | LAWRENCE D ADRIAN P.A.-C Individual | Physician Assistant (Surgical) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1326117474 | BARBARA HEYL PA-C Individual | Physician Assistant (Surgical) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1215036900 | ROBERT S KRAMER MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1528137726 | MELISSA BLIER PA-C Individual | Physician Assistant (Surgical) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1609949908 | MAINE HEART SURGICAL ASSOCIATES Organization | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1932154135 | SCOTT A. BUCHANAN M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1497277735 | JEFFREY G PREVITE PA-C Individual | Physician Assistant | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1326455742 | AMY PLANTE PA-C Individual | Physician Assistant (Surgical) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1902261209 | DEVIN JUDITH LYON PA Individual | Physician Assistant | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1932610599 | ANDREA WYMAN NP Individual | Nurse Practitioner (Acute Care) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1457742009 | ALEXIS RYBNY Individual | Nurse Practitioner (Acute Care) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1578092706 | MRS. MONICA CHEN PATREGNANI CPNP-AC Individual | Nurse Practitioner (Acute Care) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1003366709 | PATRICIA MAE WIELER NP Individual | Nurse Practitioner (Acute Care) | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
| 1093299463 | LINDSAY ROSE HOULIHAN PA-C Individual | Physician Assistant | 818 CONGRESS ST PORTLAND, ME 04102 (207) 773-8161 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417026634, enumerated in the NPI registry as an "individual" on November 06, 2006
The provider is located at 818 Congress St Portland, Me 04102 and the phone number is (207) 773-8161
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
This NPI record was last updated on November 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.