ALICIA M MANCUSO (NPI# 1083901078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083901078 |
| Entity Type | Individual |
| Full Name | ALICIA M MANCUSO |
| Credential | DO |
| Practice Address |
16 Concourse W Waterville ME 04901-6007 |
| Practice Telephone | 2078611036 |
| Practice Fax Number | 2078611039 |
| Mailing Telephone | 2078611036 |
| Mailing Fax Number | 2078611039 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO2440 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558656389 | Alicia Estrada Mancuso | Counselor | 905 10th St, Suite C, Alamogordo, NM 88310-6402 | 2011-06-09 |
| Street Address |
16 CONCOURSE W |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169702 | Hanna Campbell | Physician Assistant | 16 Concourse W, Waterville, ME 04901-6007 | 2019-02-06 |
| 1548746316 | Sharon Elizabeth Lopez | Nurse Practitioner | 16 Concourse W, Waterville, ME 04901-6007 | 2018-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1184977704 | Wenatchee Valley Hospital | Family Medicine | 117 S. Chelan Ave., Waterville, WA 98858 | 2012-10-19 |
| 1184808453 | Steven B. Dood, M.d., LLC | Family Medicine | 140 South River Road, Waterville, OH 43566 | 2007-12-21 |
| 1255531257 | Linda Keniston | Family Medicine | 174 Kennedy Memorial Dr, Waterville, ME 04901-5134 | 2007-07-19 |
| 1417071127 | John Kent Bonney | Family Medicine | 16 Concourse West, Waterville, ME 04901 | 2007-03-19 |
| 1851448823 | Susan Marie Gurney | Family Medicine | 200 Kennedy Memorial Dr., Suite 304 Inland Hospital, Waterville, ME 04901 | 2007-01-04 |
| 1043370497 | A R Amalfitano, Do | Family Medicine | 94 Silver St, Waterville, ME 04901-5924 | 2006-12-08 |
| 1972663300 | William Bennett | Family Medicine | 325 Kennedy Memorial Dr # C, Waterville, ME 04901-4517 | 2006-12-08 |
| 1184721458 | Albert Raymond Amalfitano | Family Medicine | 94 Silver Street, Waterville, ME 04901 | 2006-09-20 |
| 1124130638 | Lisa T Marrache | Family Medicine | 109 Silver St, Waterville, ME 04901 | 2006-08-31 |
| Find all providers in WATERVILLE | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
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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.