MAINEGENERAL MEDICAL CENTER (NPI# 1063716710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063716710 |
| Entity Type | Organization |
| Organization Name | MAINEGENERAL MEDICAL CENTER |
| Other Organization Name | MAINEGENERAL MULTI-SPECIALTY |
| Practice Address |
35 Medical Center Parkway Augusta ME 04330 |
| Mailing Address |
Po Box 860 Waterville ME 04903-0860 |
| Practice Telephone | 2078739841 |
| Practice Fax Number | 2078739845 |
| Mailing Telephone | 2078739841 |
| Mailing Fax Number | 2078739845 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | TERRENCE BRANN (CFO) |
| Authorized Official Telephone | 2076261230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | ME | Allopathic & Osteopathic Physicians | |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
ME | Allopathic & Osteopathic Physicians | |
| N | 207W00000X | Ophthalmology | ME | Allopathic & Osteopathic Physicians | |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1063716710 | 05 |
| Other Name | Type Code |
|---|---|
| MaineGeneral Multi-Specialty | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174858278 | Mainegeneral Medical Center | Family Medicine | 35 Medical Center Parkway, Augusta, ME 04330 | 2009-10-07 |
| 1083949184 | Mainegeneral Medical Center | Nurse Practitioner | 35 Medical Center Parkway, Augusta, ME 04330 | 2009-10-07 |
| 1104908300 | Mainegeneral Medical Center | Nursing Facility/Intermediate Care Facility | 376 Main St, Jackman, ME 04945-5214 | 2006-10-19 |
| 1447289996 | Mainegeneral Medical Center | Rehabilitation Unit | 35 Medical Center Parkway, Augusta, ME 04330 | 2006-06-30 |
| 1285672436 | Mainegeneral Medical Center | General Acute Care Hospital | 35 Medical Center Parkway, Augusta, ME 04330 | 2006-06-02 |
| 1669423380 | Mainegeneral Medical Center | General Acute Care Hospital | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2006-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAINEGENERAL MEDICAL CENTER | 35 Medical Center Parkway, Augusta, ME 04330-8160 |
| Street Address |
35 MEDICAL CENTER PARKWAY |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992789184 | Kennebec Anesthesia Associates, P.a. | Anesthesiology | 35 Medical Center Parkway, Ste 201, Augusta, ME 04330-8160 | 2005-12-01 |
| 1154780310 | Morgan Cornell | Nurse Anesthetist, Certified Registered | 35 Medical Center Parkway, Augusta, ME 04330-8160 | 2016-02-16 |
| 1255614145 | Angela Kostenbader | Physician Assistant | 35 Medical Center Parkway, Augusta, ME 04330 | 2011-09-27 |
| 1013249903 | Angela Coton | Physician Assistant | 35 Medical Center Parkway, Augusta, ME 04330-3623 | 2010-02-03 |
| 1174858278 | Mainegeneral Medical Center | Family Medicine | 35 Medical Center Parkway, Augusta, ME 04330 | 2009-10-07 |
| 1083949184 | Mainegeneral Medical Center | Nurse Practitioner | 35 Medical Center Parkway, Augusta, ME 04330 | 2009-10-07 |
| 1316100498 | Lakshman Subrahmanyan | Internal Medicine | 35 Medical Center Parkway, Suite 101, Augusta, ME 04330 | 2008-07-08 |
| 1760640056 | Raina M Lourens | Anesthesiology | 35 Medical Center Parkway, Augusta, ME 04330-8160 | 2008-05-23 |
| 1932130507 | Johnathan K Grandy | Physician Assistant | 35 Medical Center Parkway, Augusta, ME 04330 | 2006-07-05 |
| 1447289996 | Mainegeneral Medical Center | Rehabilitation Unit | 35 Medical Center Parkway, Augusta, ME 04330 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219145 | Mandeep Singh | Psychiatry & Neurology | 1103 15th St, Augusta, GA 30901-3111 | 2020-06-12 |
| 1427673797 | Amanda Seamon | Psychiatry & Neurology | 997 Saint Sebastian Way # Eg2003, Augusta, GA 30912-2613 | 2020-06-12 |
| 1538622873 | Daniel Duong Phan | Psychiatry & Neurology | 1459 Laney Walker Blvc Ae-3042, Augusta, GA 30912-0001 | 2019-04-12 |
| 1427549567 | Ozioma Nwaigwe | Psychiatry & Neurology | 1120 15th St Augusta, Augusta, GA 30912-0001 | 2018-05-24 |
| 1568845881 | Jacqueline Locrotondo | Psychiatry & Neurology | 1465 Laney Walker Blvd Pavilion II Af 1040, Augusta, GA 30912-0004 | 2015-07-06 |
| 1093198723 | Erin Dexter | Psychiatry & Neurology | 1022 15th St, Augusta, GA 30912-0004 | 2015-06-30 |
| 1427394402 | Kenneth D. Jones M.d., P.C. | Psychiatry & Neurology | 1430 Harper St Ste C2, Augusta, GA 30901-0621 | 2012-12-20 |
| 1871854174 | Patrick Killoran | Psychiatry & Neurology | 1 Va Ctr # 118e, Togus Va Medical Center, Augusta, ME 04330-6719 | 2012-06-04 |
| 1477766640 | Deborah J Wear-finkle | Psychiatry & Neurology | 592 Riverside Dr, #8, Augusta, ME 04330-3813 | 2007-05-07 |
| 1689793077 | Elsie J Freeman | Psychiatry & Neurology | Main Dhhs, 11 State House Station, Augusta, ME 04333-0001 | 2007-03-28 |
| Find all providers in AUGUSTA | ||||
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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.