APPLEDORE MEDICAL GROUP II INC (NPI# 1114113040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114113040 |
| Entity Type | Organization |
| Organization Name | APPLEDORE MEDICAL GROUP II INC |
| Other Organization Name | COASTAL CARDIOTHORACIC & VASCULAR ASSOCIATES |
| Practice Address |
12 Hospital Dr Suite 9 York ME 03909-1030 |
| Practice Telephone | 6034334862 |
| Practice Fax Number | 6033342052 |
| Mailing Telephone | 6034334862 |
| Mailing Fax Number | 6033342052 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |
| Authorized Official Name | KEN WASHINGTON (VICE PRESIDENT) |
| Authorized Official Telephone | 7036502907 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30212551 | 05 |
| Other Name | Type Code |
|---|---|
| Coastal Cardiothoracic & Vascular Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477752699 | Appledore Medical Group II Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12 Hospital Dr, Suite A, York, ME 03909-1030 | 2007-07-17 |
| 1881683415 | Appledore Medical Group II Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 333 Borthwick Ave, Suite 402, Portsmouth, NH 03801-7128 | 2005-10-17 |
| Street Address |
12 HOSPITAL DR SUITE 9 |
| City | YORK |
| State | ME |
| Zip Code | 03909-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306881198 | Lawrence J Petrovich | Internal Medicine | 12 Hospital Dr, Suite 9, York, ME 03909-1030 | 2006-06-17 |
| 1437768710 | Ryan Gregory Smith | Dentist | 12 Hospital Dr, York, ME 03909-1030 | 2020-07-23 |
| 1285155317 | York Village Dental LLC | Clinic/Center | 12 Hospital Dr, York, ME 03909-1030 | 2017-06-28 |
| 1912202961 | Scott P Belanger | Nurse Practitioner | 12 Hospital Dr, Suite A, York, ME 03909-1030 | 2011-01-24 |
| 1376718593 | Urology Associates of York Hospital | Urology | 12 Hospital Dr, Ste A, York, ME 03909-1099 | 2008-04-29 |
| 1639344864 | Psychiatry Associates of York Hospital | Psychiatry & Neurology | 12 Hospital Dr, York, ME 03909-1099 | 2008-04-29 |
| 1861664534 | Psychiatry Associates of York Hospital | Psychiatry & Neurology | 12 Hospital Dr, York, ME 03909-1099 | 2008-04-02 |
| 1285806661 | Urology Associates of York Hospital | Urology | 12 Hospital Dr, Ste A, York, ME 03909-1099 | 2008-03-26 |
| 1417133745 | Gretchen Volpe | Internal Medicine | 12 Hospital Dr, Suite B, York, ME 03909-1030 | 2008-01-16 |
| 1477752699 | Appledore Medical Group II Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12 Hospital Dr, Suite A, York, ME 03909-1030 | 2007-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206049 | Kristina Nicole Scangas | Physician Assistant | 3 Loving Kindness Way, York, ME 03909 | 2019-10-16 |
| 1467923540 | St. Georges Childcare Center | Clinic/Center | 407 York Street, York Harbor, ME 03909 | 2018-12-16 |
| 1518398023 | Jm Dental PC | Dentist | 433 F Us Route 1, Suite 107, York, ME 03909 | 2013-12-09 |
| 1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
| 1720351240 | Kimberly Trafton | Acupuncturist | 272 York Street, York, ME 03909 | 2012-02-14 |
| 1518237767 | Jill Ann Colton-spina | Registered Nurse | 32 York Street, Psychiatry Associates of York Hospital, York, ME 03909 | 2012-01-05 |
| 1497980650 | York Family Dental | Dentist | 433f Us Route 1, Cottage Place Suite 107, York, ME 03909 | 2009-05-18 |
| 1356590947 | Susan A. Emerson | Occupational Therapist | 41 Brixham Rd., York, ME 03909 | 2008-09-18 |
| 1316122252 | John Wendelin Anderer | Dentist | 433 F Us Route 1 Cottage Place John Anderer D.d.s., 107, York, ME 03909 | 2008-01-09 |
| 1720296486 | Town of York/york School Department | Local Education Agency (LEA) | 469 U.S. Route One, York, ME 03909 | 2007-05-18 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174730238 | Appledore Mediacal Grp II, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12 Hospital Dr Ste A, York, ME 03909-1030 | 2007-05-17 |
| 1124233044 | Appledore Medical Grp II, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16 Hospital Dr Ste 101, York, ME 03909-1041 | 2007-05-14 |
| 1689627259 | Cardiac and Thoracic Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 410 Shady Dell Rd, York, PA 17403-4483 | 2006-05-18 |
| 1629071360 | Bradley Howard Levin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1750 Starcross Rd, York, PA 17403-4540 | 2005-05-26 |
| 1477752699 | Appledore Medical Group II Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12 Hospital Dr, Suite A, York, ME 03909-1030 | 2007-07-17 |
| 1326128968 | David L Robaczewski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25 Monument Rd, York, PA 17403-5060 | 2006-10-17 |
| 1801833868 | Mark W Burlingame | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25 Monument Rd, Suite 190, York, PA 17403-5060 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851692974 | Jeremy Richard Morton Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 75 Vaughan St, Portland, ME 04102-3641 | 2010-11-04 |
| 1750590915 | Elena M Ziarnik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Campus Dr Unit 121, Scarborough, ME 04074-7172 | 2007-05-22 |
| 1104872050 | Desmond J. Donegan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 21 B Northbrook Drive, Maine Vein Center Associates, LLC, Falmouth, ME 04105-1379 | 2006-05-25 |
| 1457337172 | John Dean Klemperer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 417 State St Ste 421, Bangor, ME 04401-6639 | 2005-12-15 |
| 1689678112 | Gary M Hochheiser | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2005-06-13 |
| 1205324415 | Ashley Eileen Sirois | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 417 State St Ste 421, Bangor, ME 04401-6639 | 2018-04-24 |
| 1912417817 | Kathleen R Marcoux | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 417 State St Ste 421, Bangor, ME 04401-6639 | 2017-10-05 |
| 1841713633 | Jennifer Alice Kole | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 22 Bramhall St, Portland, ME 04102-3134 | 2017-07-24 |
| 1134417462 | David Pantino | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 417 State St Ste 421, Bangor, ME 04401 | 2011-07-20 |
| 1497080055 | Mohammed Jawad Latif | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 417 State St Ste 421, Bangor, ME 04401-6639 | 2009-10-14 |
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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.