JOHN A PELLETIER (NPI# 1053397760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053397760 |
| Entity Type | Individual |
| Full Name | JOHN A PELLETIER |
| Credential | D.O. |
| Practice Address |
295 Forest Ave 2nd Floor Portland ME 04101-2018 |
| Practice Telephone | 2077727417 |
| Practice Fax Number | 2077727465 |
| Mailing Telephone | 2077727417 |
| Mailing Fax Number | 2077727465 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2009-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 1483 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 208480099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215106588 | John R Pelletier | Psychologist | 83 Adamsville Rd, Westport, MA 02790-5001 | 2008-02-21 |
| 1811380348 | John Pelletier | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2015-03-09 |
| Street Address |
295 FOREST AVE 2ND FLOOR |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982633 | Nicole Peters Mediouni | Pharmacist | 295 Forest Ave, Portland, ME 04101-2018 | 2020-11-05 |
| 1467079830 | Eric Payeur | Pharmacist | 295 Forest Ave, Portland, ME 04101-2018 | 2020-07-01 |
| 1366087413 | Jessica Allen | Pharmacist | 295 Forest Ave, Portland, ME 04101-2018 | 2019-11-13 |
| 1235525478 | Amy Verville | Pharmacist | 295 Forest Ave, Portland, ME 04101-2018 | 2015-04-14 |
| 1063827376 | Elwen Eaton | Pharmacy Technician | 295 Forest Ave, 2r Hannaford Plaza, Portland, ME 04101-2018 | 2014-06-25 |
| 1710173133 | Angela L Branda | Pediatrics | 295 Forest Ave, 2r, Portland, ME 04101-2018 | 2007-09-19 |
| 1013025402 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 295 Forest Ave, Portland, ME 04101-2018 | 2006-08-27 |
| 1033174693 | Paula Vokey | Social Worker | 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 | 2006-04-18 |
| 1558348763 | Laura Kelley | Pediatrics | 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 | 2005-12-29 |
| 1659357275 | Amy P Farb | Pediatrics | 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 | 2005-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614449 | Keith Turner Slicho, Do, PC | Neuromusculoskeletal Medicine & OMM | 700 Ne Multnomah St Ste 330, Portland, OR 97232-4103 | 2020-03-13 |
| 1417428848 | David D Keller Do PC | Neuromusculoskeletal Medicine & OMM | 195 Fore River Pkwy Ste 470, Portland, ME 04102-2787 | 2018-12-11 |
| 1548402811 | Juliette Sophie Preston | Neuromusculoskeletal Medicine & OMM | 3303 Sw Bond Ave Fl 8, Portland, OR 97239-4501 | 2009-04-01 |
| 1891871455 | Gregory John Esmer | Neuromusculoskeletal Medicine & OMM | 4039 N Mississippi Ave Ste 203, Portland, OR 97227-1477 | 2006-10-27 |
| 1275622318 | William James Bernstein | Neuromusculoskeletal Medicine & OMM | 3710 Us Veterans Hosp Rd # 417, Portland Vamc, Portland, OR 97239 | 2006-10-12 |
| 1023103934 | James L Cook | Neuromusculoskeletal Medicine & OMM | 2814 Se Steele St # 7, Portland, OR 97202-4525 | 2006-10-04 |
| 1497768964 | Yuri Hiranuma | Neuromusculoskeletal Medicine & OMM | 1312 E Burnside St, Portland, OR 97214-1424 | 2006-08-14 |
| 1871539247 | Alicia Smilowicz | Neuromusculoskeletal Medicine & OMM | 466 Ocean Ave, 1st Floor, Portland, ME 04103-5718 | 2006-06-22 |
| 1043254378 | Keith W Kale | Neuromusculoskeletal Medicine & OMM | 10748 Ne Halsey St, Portland, OR 97220-3961 | 2006-06-16 |
| 1043257561 | Adi Michelle Philpott | Neuromusculoskeletal Medicine & OMM | 37 Leonard St, Portland, ME 04103-2512 | 2006-06-01 |
| Find all providers in PORTLAND | ||||
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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.