LUCIEN R. OUELLETTE (NPI# 1114952991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114952991 |
| Entity Type | Individual |
| Full Name | LUCIEN R. OUELLETTE |
| Credential | M.D. |
| Practice Address |
33 Sewall St Portland ME 04102-2603 |
| Mailing Address |
324 Gannett Dr Ste 200 South Portland ME 04106-3266 |
| Practice Telephone | 2078282100 |
| Mailing Telephone | 2074827800 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
MD16785 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
33 SEWALL ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057611 | Dirk G. Asherman | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2005-07-19 |
| 1023619939 | Spectrum Healthcare Partners, Pa | Clinic/Center | 33 Sewall St, Portland, ME 04102-2603 | 2020-11-06 |
| 1407405798 | Robyn Waugh | Physical Therapist | 33 Sewall St, Portland, ME 04102-2603 | 2019-09-09 |
| 1659934743 | Matthew Devine | Physical Therapist | 33 Sewall St, Portland, ME 04102-2603 | 2019-04-15 |
| 1952892978 | Cody Bothel | Physician Assistant | 33 Sewall St, Portland, ME 04102-2603 | 2018-05-24 |
| 1457879405 | Marcus Alomar | Physical Therapist | 33 Sewall St, Portland, ME 04102-2603 | 2017-08-30 |
| 1700318573 | Spectrum Healthcare Partners, P.a. | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2017-03-31 |
| 1326598012 | Marianne Ritterova | Physical Therapist | 33 Sewall St, Portland, ME 04102-2603 | 2016-10-06 |
| 1306394267 | Victoria Stearns | Specialist/Technologist | 33 Sewall St, Portland, ME 04102-2603 | 2016-09-20 |
| 1760930622 | Harry Knox IIi | Specialist/Technologist | 33 Sewall St, Portland, ME 04102-2603 | 2016-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063672228 | Katherine Rutherford | Pediatrics | 331 Veranda St, Portland, ME 04103-5545 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831668342 | Tyler Lee Jamison | Pediatrics | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2018-11-14 |
| 1932547668 | Christine Bender | Pediatrics | 74 Baribeau Dr, Brunswick, ME 04011-3218 | 2013-06-04 |
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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.