MEDICARE: MRS. DOROTHY B. MCGRATH PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0577	NH
2	363A00000X	Physician Assistant	0577	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780641332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DOROTHY B. MCGRATH PA-C

Provider Business Mailing Address
First Line	:	PO BOX 9746
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04104-5040
Country	:	US
Telephone Number	:	207-791-3888
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 CORPORATE DR
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-6825
Country	:	US
Telephone Number	:	603-431-5154
Fax Number	:	603-430-5033

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	06/03/2026

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