DR. JOHN C GERSHMAN-TEWKSBURY (NPI# 1053335992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053335992 |
Entity Type | Individual |
Full Name | DR. JOHN C GERSHMAN-TEWKSBURY |
Credential | MD |
Practice Address |
140 Academy St Presque Isle ME 04769-3102 |
Mailing Address |
Po Box 1820 Presque Isle ME 04769-1820 |
Practice Telephone | 2077684209 |
Practice Fax Number | 2077684013 |
Mailing Telephone | 2077647529 |
Mailing Fax Number | 2077646504 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
012546 | ME | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | ANTHEM INDIVIDUAL ID | 003962 | 01 |
Street Address |
140 ACADEMY ST |
City | PRESQUE ISLE |
State | ME |
Zip Code | 04769-3102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063415123 | Roy Frieband | Family Medicine | 140 Academy St, Presque Isle, ME 04769-3102 | 2005-05-23 |
1851900971 | Georgina Aguirre | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3171 | 2020-07-24 |
1144840570 | Angel Hebert | Dietitian, Registered | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-04-27 |
1265052716 | Benjamin Mayhew | Dietitian, Registered | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-04-24 |
1184253247 | Thomas Merrow | Dietitian, Registered | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-04-02 |
1497395511 | Danielle Desjardins | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-01-07 |
1598302309 | Elizabeth Cole | Registered Nurse | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-11-30 |
1720638950 | Lindsay Ireland | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-09-19 |
1902468671 | Jessica Rossignol | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-07-02 |
1093378002 | Shea Gabriella Craig | Occupational Therapist | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-04-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
1831561562 | Vna Home Health & Hospice | Home Health | 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 | 2015-10-21 |
1225439581 | A & L Clinical Services | Community/Behavioral Health | 742 Main Street, Presque Isle, ME 04769 | 2014-09-05 |
1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
1669659603 | Susan Cambridge Dick | Occupational Therapist | 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 | 2008-01-22 |
1285826792 | Osama Aziz | Internal Medicine | 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 | 2007-08-17 |
1831220250 | Rachel Mary Swartz | Obstetrics & Gynecology | 140 Academy St Ste 4, Presque Isle, ME 04769 | 2007-03-08 |
1114053634 | Ralph U Scheidler | Social Worker | 20 Dyer Street, Community Care, Presque Isle, ME 04769 | 2007-02-26 |
1427158716 | Venkatram Nethala | Internal Medicine | 146 Academy Street, Suite 1b, Presque Isle, ME 04769 | 2006-09-25 |
Find all providers in zip 04769 |
Taxonomy Code | 207ZP0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Clinical Pathology/Laboratory Medicine |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972908184 | Crown Pathology P A | Pathology | 140 Academy St, Presque Isle, ME 04769-3102 | 2014-10-30 |
1962423814 | Crown Pathology, Pa | Pathology | 140 Academy St, Presque Isle, ME 04769-3102 | 2006-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679600084 | Franklin Pathology Services Pa | Pathology | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2007-02-27 |
1427078583 | Joseph L Fichthorn | Pathology | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2006-07-20 |
1740270255 | Michael B Porter | Pathology | 163 Van Buren Rd, Laboratory, Caribou, ME 04736-3567 | 2005-10-26 |
City | PRESQUE ISLE |
Zip Code | 04769 |
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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.