MAURICE C. HOTHEM, DO PA (NPI# 1134288582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134288582 |
| Entity Type | Organization |
| Organization Name | MAURICE C. HOTHEM, DO PA |
| Practice Address |
222 Auburn St Portland ME 04103-6004 |
| Practice Telephone | 2077974148 |
| Practice Fax Number | 2077975730 |
| Mailing Telephone | 2077974148 |
| Mailing Fax Number | 2077975730 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | MC HOTHEM (OWNER AND PROVIDER) |
| Authorized Official Telephone | 2077974148 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 115730000 | 05 | |
| ME | CIGNA | M9150 | 01 |
| Street Address |
222 AUBURN ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228509 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 222 Auburn St, Portland, ME 04103-6004 | 2006-01-06 |
| 1033766563 | Jacqueline R Delong | Speech-Language Pathologist | 222 Auburn St, Portland, ME 04103-6002 | 2019-08-20 |
| 1124688304 | Alice Hervey | Speech-Language Pathologist | 222 Auburn St, Portland, ME 04103-6002 | 2019-06-19 |
| 1497278683 | Katelyn Deblois | Speech-Language Pathologist | 222 Auburn St, Portland, ME 04103-6002 | 2017-07-20 |
| 1780126557 | Carolyn Branson Pllc | Counselor | 222 Auburn St, Suite 201, Portland, ME 04103-6002 | 2016-11-10 |
| 1710336318 | Heidi A Heap-chester Md LLC | Family Medicine | 222 Auburn St, Suite 102, Portland, ME 04103-6002 | 2016-06-06 |
| 1225403462 | Brittney Astbury | Speech-Language Pathologist | 222 Auburn St, Portland, ME 04103-6002 | 2015-12-13 |
| 1548634470 | Carolyn Branson | Counselor | 222 Auburn St, Ste. 201, Portland, ME 04103-6002 | 2015-11-16 |
| 1568847333 | Anastasia M. Valcourt | Speech-Language Pathologist | 222 Auburn St, Portland, ME 04103-6002 | 2015-07-22 |
| 1316332604 | Iris Savernik Do Osteopathic Care LLC | Neuromusculoskeletal Medicine & OMM | 222 Auburn St, Portland, ME 04103-6002 | 2015-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| 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. |
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|---|---|---|---|---|
| 1639710783 | Christine Elizabeth O'connor | Family Medicine | 6336 Se 61st Ave, Portland, OR 97206-6718 | 2019-09-30 |
| 1427608645 | Carehere LLC | Family Medicine | Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 | 2019-09-19 |
| 1063064285 | Victoria A Deane | Family Medicine | 37 Fall Brook St, Portland, ME 04103-4224 | 2019-07-09 |
| 1598238214 | Whole Systems Healthcare | Family Medicine | 1020 Sw Taylor St Ste 340, Portland, OR 97205-2508 | 2019-01-04 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1871943159 | Micah Kiehl | Family Medicine | 4427 Ne Fremont St, Portland, OR 97213-1153 | 2016-06-16 |
| 1083068589 | Carrie Lynn Binder | Family Medicine | 1035 Nw Northrup St, Portland, OR 97209-3017 | 2016-04-20 |
| 1437513835 | Kayce A Spear | Family Medicine | 10803 Se Cherry Blossom Drive, Portland, OR 97216-3107 | 2016-04-12 |
| 1992175509 | Lone Star Evaluations Inc. | Family Medicine | 1500 Wildcat Dr Ste M, Portland, TX 78374-2826 | 2015-09-25 |
| Find all providers in PORTLAND | ||||
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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.