| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1538129226 | DIXON | ANDREW | C | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 | |
| 1073139465 | FORAKER | JACLYN | KIMBERLY | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 | |
| 1063443752 | SANTHYADKA | GANESHA | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |