DR. LARS MIKAEL QVICK (NPI# 1104054071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104054071 |
| Entity Type | Individual |
| Full Name | DR. LARS MIKAEL QVICK |
| Credential | M.D. |
| Practice Address |
15 Gracelawn Rd Suite 101 Auburn ME 04210-6334 |
| Mailing Address |
Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 2073334710 |
| Practice Fax Number | 2073334715 |
| Mailing Telephone | 2077778950 |
| Mailing Fax Number | 2077778800 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD20434 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | PENDING | 05 |
| Street Address |
15 GRACELAWN RD SUITE 101 |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-6334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719391 | Paul James Balzer Jr. | Family Medicine | 15 Gracelawn Rd, Suite 103, Auburn, ME 04210-6334 | 2005-12-01 |
| 1578199246 | Tammy Lynn Abbott | Nurse Practitioner | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2020-03-13 |
| 1548638232 | Brittany A Roy | Physician Assistant | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2015-09-11 |
| 1033598008 | Mohamed Ali Al Saied | Orthopaedic Surgery | 15 Gracelawn Rd, Suite 101, Auburn, ME 04210-6347 | 2015-05-24 |
| 1023433000 | Allison Baysol | Physician Assistant | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2014-02-27 |
| 1730520081 | Ashley S Hamilton-ellis | Nurse Practitioner | 15 Gracelawn Rd, Suite 103, Auburn, ME 04210-6334 | 2013-07-16 |
| 1366702821 | Alycia D Reppel | Physical Medicine & Rehabilitation | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2012-05-17 |
| 1568792224 | St. Mary's Health System | Preventive Medicine | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2009-12-31 |
| 1932124013 | Pamela Sirois | Nurse Practitioner | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2006-07-12 |
| 1407886443 | Dorene A Dostal-johnson | Nurse Practitioner | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194913749 | Auburn Memorial Medical Services, PC | Orthopaedic Surgery | 17 Lansing Street, Attn: C. Mcloud, Auburn, NY 13021 | 2007-10-09 |
| 1578629317 | Mark Trent Sylvester | Orthopaedic Surgery | 12719 Shockley Woods Court, Auburn, CA 95603 | 2006-12-28 |
| 1639196371 | Raad Andrew Al-shaikh | Orthopaedic Surgery | 11720 Education St Ste 5, Auburn, CA 95602-2419 | 2006-07-17 |
| 1184641904 | Ada Cheung | Orthopaedic Surgery | 121 N Division St, Auburn, WA 98001 | 2006-07-16 |
| 1669419081 | Auburn Orthopaedic Center, LLC | Orthopaedic Surgery | 1800 Lakeside Cir, Auburn, AL 36830-2842 | 2006-06-02 |
| 1407817646 | Timothy John Mickel | Orthopaedic Surgery | 11795 Education St Ste 110, Auburn, CA 95602-2469 | 2006-03-29 |
| 1538137724 | Brian David Tallerico | Orthopaedic Surgery | Auburn Orthopaedic Specialists, 77 Nelson Street, Suite 120, Auburn, NY 13021-1983 | 2006-03-14 |
| 1528058229 | David Allen Oliver | Orthopaedic Surgery | 275 Grass Valley Hwy, Auburn, CA 95603-4533 | 2005-10-24 |
| 1861497083 | Paul R. Cain | Orthopaedic Surgery | 690 Minot Ave, Ste 1, Auburn, ME 04210-3922 | 2005-06-15 |
| 1366447591 | Wayne A. Moody | Orthopaedic Surgery | 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 | 2005-06-15 |
| Find all providers in AUBURN | ||||
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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.