ROBERT MACNEAL (NPI# 1033224431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033224431 |
| Entity Type | Individual |
| Full Name | ROBERT MACNEAL |
| Credential | MD |
| Practice Address |
50 Sewall St Portland ME 04102-2645 |
| Practice Telephone | 2077753526 |
| Mailing Telephone | 2077753526 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 37789 | IA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 12238 | NH | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
018570 | ME | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
12238 | NH | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
37789 | IA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
37789 | IA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 12238 | NH | Allopathic & Osteopathic Physicians |
| Street Address |
50 SEWALL ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301780 | Timothy J Stiles | Physical Therapist | 50 Sewall St, Ste 101, Portland, ME 04102-2645 | 2005-07-22 |
| 1700170149 | David Baird | Dermatology | 50 Sewall St, Portland, ME 04102-2645 | 2011-06-02 |
| 1316267990 | Rachel Gormley | Dermatology | 50 Sewall St, Portland, ME 04102-2645 | 2010-06-07 |
| 1477738391 | Timothy Patrick Griffin | Physical Therapist | 50 Sewall St, Suite 101, Portland, ME 04102-2645 | 2008-01-09 |
| 1760680755 | Kristin M Mathieson | Nurse Practitioner | 50 Sewall St, Portland, ME 04102-2624 | 2007-07-11 |
| 1285755124 | Christopher Jay Steen | Dermatology | 50 Sewall St, Dermatology Associates, Portland, ME 04102-2645 | 2007-04-02 |
| 1427175934 | Allen Thomas Bruce | Dermatology | 50 Sewall St, Portland, ME 04102-2645 | 2007-03-22 |
| 1124143359 | Stephen Wayne Miller | Physician Assistant | 50 Sewall St, Suite 301, Portland, ME 04102-2645 | 2007-03-20 |
| 1033152798 | Scott M Lemelin | Physical Therapist | 50 Sewall St, Suite 101, Portland, ME 04102 | 2006-06-13 |
| 1215976931 | Chelsea J. Dugan | Nurse Practitioner | 50 Sewall St, Portland, ME 04102-2624 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396845814 | Parwathi Vasudeva Paniker | Dermatology | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2006-09-24 |
| 1205805405 | Stephen N Snow | Dermatology | 3600 N Interstate Ave, Dermatology/mohs Surg Central Interstate Medical Office, Portland, OR 97227-1106 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952747784 | Dan Filitis | Dermatology | 6 E Chestnut St Ste 340, Augusta, ME 04330-5760 | 2013-05-20 |
| 1285656413 | Brian Patrick O'donnell | Dermatology | 407 Us Route 1, Freeport, ME 04032-7023 | 2006-07-24 |
| 1215440011 | Camden Dermatology & Mohs Surgery LLC | Dermatology | 195 Union St, Rockport, ME 04856-6107 | 2017-11-15 |
| 1700052792 | Kerry Allison Lavigne | Dermatology | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2008-04-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.