NICHOLETTE ERICKSON (NPI# 1063488518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063488518 |
| Entity Type | Individual |
| Full Name | NICHOLETTE ERICKSON |
| Credential | MD |
| Practice Address |
12 High St Lewiston ME 04240-7689 |
| Practice Telephone | 2077952935 |
| Mailing Telephone | 2077952935 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2010-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
013844 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
12 HIGH ST |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838570 | David Clark Caldwell | Internal Medicine | 12 High St, Ste 205, Lewiston, ME 04240-7676 | 2005-06-01 |
| 1750991014 | Kayla Ann Harris | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2020-08-03 |
| 1063046597 | Angelica Leah Estes-lebrun | Nurse Practitioner | 12 High St, Lewiston, ME 04240-7676 | 2020-02-24 |
| 1154988046 | Joseph Renda IIi | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2019-05-26 |
| 1750862769 | Alex Beggs | Internal Medicine | 12 High St, Lewiston, ME 04240-7676 | 2018-08-27 |
| 1912488149 | Jared J Morin | Nurse Practitioner | 12 High St, Lewiston, ME 04240-7676 | 2018-08-26 |
| 1194201988 | Kaitlyn Bernard | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2018-07-14 |
| 1801347604 | Jennifer-lynn Flynn | Nurse Practitioner | 12 High St, Suite 301, Lewiston, ME 04240-7676 | 2016-10-18 |
| 1578916706 | Jeffrey Robertson | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2016-07-23 |
| 1962854786 | Brianna Boutin | Nurse Practitioner | 12 High St, Suite 301, Lewiston, ME 04240-7676 | 2016-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508809252 | Daniel E Williams | Internal Medicine | 1250 Idaho St, Lewiston, ID 83501-1965 | 2006-06-13 |
| 1205838570 | David Clark Caldwell | Internal Medicine | 12 High St, Ste 205, Lewiston, ME 04240-7676 | 2005-06-01 |
| 1609154467 | Milaim Mustafa | Internal Medicine | 12 High St Ste 205, Lewiston, ME 04240-7689 | 2011-07-28 |
| 1518288307 | Na Liu | Internal Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2010-06-16 |
| 1649478827 | Daniel Cary Rausch | Internal Medicine | 12 High St, Suite 205, Lewiston, ME 04240-7676 | 2007-07-10 |
| 1245457076 | Donna Thompson | Internal Medicine | 300 Main St, Lewiston, ME 04240-7027 | 2007-04-20 |
| 1639256845 | Gregory S Emmons | Internal Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2006-11-01 |
| 1386615995 | Thomas P Drakes | Internal Medicine | 415 6th St, St. Joseph Regional Cancer Center, Lewiston, ID 83501-2431 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518131168 | Rodrigo Otavio Boff Maegawa | Internal Medicine | 33 Whiting Hill Road, Eastern Maine Medical Center, Brewer, ME 04412-1004 | 2008-04-15 |
| 1285830554 | Brian Roger Haney | Internal Medicine | 105 Topsham Fair Mall Rd Unit 1, Topsham, ME 04086 | 2007-06-25 |
| 1295755635 | Astrid C Andreescu | Internal Medicine | 33 Whiting Hill Rd Ste 21, Brewer, ME 04412-1022 | 2006-07-20 |
| 1720025588 | Charles K Tashima | Internal Medicine | 329 Maine Street, Brunswick, ME 04011 | 2006-06-01 |
| 1932165990 | Mainegeneral Health Associates Dba Oncology Associates | Internal Medicine | Oncology Associates, 149 North St, Waterville, ME 04901 | 2006-04-26 |
| 1205896107 | Maine Center for Cancer Medicine & Blood Disorders, P.a. | Internal Medicine | 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 | 2006-03-24 |
| 1477524387 | Preston H Dalglish Jr. | Internal Medicine | 26 W Cole Rd, Biddeford, ME 04005-9407 | 2006-01-30 |
| 1386615201 | Kurt S Ebrahim | Internal Medicine | 2 Independence Dr, Kennebunk, ME 04043-6078 | 2006-01-30 |
| 1487651584 | Christian Anton Thomas | Internal Medicine | 100 Campus Drive, Suite 108, Scarborough, ME 04074 | 2005-07-05 |
| 1457760340 | Sriman Swarup | Internal Medicine | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2014-08-05 |
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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.