PENOBSCOT VALLEY FOOT AND ANKLE (NPI# 1053886184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053886184 |
Entity Type | Organization |
Organization Name | PENOBSCOT VALLEY FOOT AND ANKLE |
Practice Address |
7 Transalpine Rd Lincoln ME 04457-4222 |
Mailing Address |
Po Box 21 Lincoln ME 04457-0021 |
Practice Telephone | 2159100001 |
Mailing Telephone | 2077947214 |
Mailing Fax Number | 2077943315 |
Enumeration Date | 2018-10-04 |
Last Update Date | 2019-05-22 |
Authorized Official Name | DR. MICHAEL DOSS (CEO) |
Authorized Official Telephone | 2077947214 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
Street Address |
7 TRANSALPINE RD |
City | LINCOLN |
State | ME |
Zip Code | 04457-4222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093716086 | Penobscot Valley Hospital | General Acute Care Hospital | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2005-08-02 |
1659832566 | Linda Osborne | Physical Therapist | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2019-03-26 |
1831659804 | Kathleen Neal | Physical Therapist | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2019-03-25 |
1831539899 | Amanda Elizabeth Buzzell | Physician Assistant | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2013-07-04 |
1669704201 | Scott Cormier | Occupational Therapist | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2010-02-08 |
1710116876 | Devesh Agarwal | Family Medicine | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2009-07-10 |
1881809044 | Mark B Robinson | Dietitian, Registered | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2007-05-11 |
1700805868 | Penobscot Valley Hospital | Medicare Defined Swing Bed Unit | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2006-07-19 |
1619914280 | Myra M Whorton | Nurse Anesthetist, Certified Registered | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2006-06-01 |
1154378917 | Gerald S Laird | Nurse Anesthetist, Certified Registered | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2006-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
1902303142 | Jennifer Harvey | Speech-Language Pathologist | 36 Workman Terrace Street, Lincoln, ME 04457 | 2018-04-12 |
1255714275 | Jill Bouchard | Registered Nurse | 313 Enfield Rd, Lincoln, ME 04457 | 2015-07-08 |
1346594769 | Total Renal Care Inc | Clinic/Center | 250 Enfield Rd, Lincoln, ME 04457 | 2012-11-07 |
1932429743 | Anne Marie Osolinski | Counselor | 8 Fleming Street, Suite C, Lincoln, ME 04457 | 2010-06-03 |
1477886711 | Lakeview Afch Inc | Custodial Care Facility | 10 E Broadway, Lincoln, ME 04457 | 2009-09-17 |
1326273418 | Colonial Healthcare | Assisted Living Facility | 36 Workman Terrace, Lincoln, ME 04457 | 2009-05-19 |
1730346743 | Mark B Weatherbee Od | Optometrist | 26 Enfield Road, Lincoln, ME 04457 | 2008-05-19 |
1396948139 | Alfred H. Vandine Jr. | Counselor | 313 Enfield Road, Lincoln, ME 04457 | 2007-06-08 |
1902024870 | Mary Catherine Goolsby | Social Worker | 313 Enfield Rd., Lincoln, ME 04457 | 2007-04-23 |
Find all providers in zip 04457 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598077406 | Garrett Marc Sessions | Podiatrist | 685 Twelve Bridges Dr Ste C, Lincoln, CA 95648-8689 | 2010-07-08 |
1194884387 | Benjamin Van Pham | Podiatrist | 685 Twelve Bridges Dr Ste F, Lincoln, CA 95648-8689 | 2006-12-06 |
1821091638 | Teresa K Burnap | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2080 | 2005-05-24 |
1154786598 | Benjamin Van Pham | Podiatrist | 685 Twelve Bridges Dr Ste F, Lincoln, CA 95648-8689 | 2015-12-30 |
1679953392 | Lincoln Foot Clinic | Podiatrist | 600 N Cotner Blvd, Suite 116, Lincoln, NE 68505 | 2015-06-08 |
1487069100 | Matthew Williamson | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2014-06-23 |
1538457619 | Derek Miller | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2011-07-11 |
1912211657 | Kara L Krejci Reed | Podiatrist | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2010-08-05 |
1235461294 | Joshua Morton Vest | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2010-02-02 |
1558401414 | Fred Miller James | Podiatrist | 600 N Cotner Blvd, Suite 116, Lincoln, NE 68505-2343 | 2007-02-07 |
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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.