MARYBESS SKALETSKY (NPI# 1154379345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154379345 |
| Entity Type | Individual |
| Full Name | MARYBESS SKALETSKY |
| Credential | PA |
| Practice Address |
301 Us Route 1 Building C Scarborough ME 04074-9701 |
| Practice Telephone | 2073968600 |
| Practice Fax Number | 2073968632 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA001047 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 432235499 | 05 |
| Street Address |
301 US ROUTE 1 BUILDING C |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538421284 | Joseph David Porreco | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2012-06-08 |
| 1790085702 | Matthew Vieira | Physician Assistant | 49 Spring St, 1st Floor, Scarborough, ME 04074-8926 | 2010-10-25 |
| 1922252774 | Joseph W Perocier | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2008-11-06 |
| 1164671590 | Jesse S Ritch | Physician Assistant | 49 Spring St, 1st Floor, Scarborough, ME 04074-8926 | 2008-09-10 |
| 1477584613 | Ryan A Card | Physician Assistant | 49 Spring St, 1st Floor, Scarborough, ME 04074 | 2006-07-05 |
| 1467496414 | Elizabeth K. Anderson | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2006-06-16 |
| 1427093491 | Wendy J. Johnston | Physician Assistant | 49 Spring St, 1st Floor, Scarborough, ME 04074-8926 | 2006-06-16 |
| 1033109707 | Damon M Jordan | Physician Assistant | 49 Spring St, Scarborough, ME 04074 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1881090033 | Sanja Bukarac | Physician Assistant | 20 Buca Run, Portland, ME 04103-1427 | 2014-11-17 |
| 1194130716 | Nicole Lessard | Physician Assistant | 27 Bramhall St, Portland, ME 04102 | 2014-06-23 |
| 1568550341 | Laura M. Glaser | Physician Assistant | 15 Gracelawn Rd Ste 101, Auburn, ME 04210 | 2006-10-10 |
| 1679595433 | John Nowak | Physician Assistant | 489 State Street, Eastern Maine Medical Center, Bangor, ME 04401 | 2006-07-24 |
| 1093730350 | Melissa Becker | Physician Assistant | 925 Union St, Suite 3, Bangor, ME 04401-3051 | 2006-07-13 |
| 1841228889 | John D Clark | Physician Assistant | 39 Miles St., Damariscotta, ME 04543-0000 | 2006-06-29 |
| 1003867086 | Callie Orae Mcmahon | Physician Assistant | 262 Church Rd, Brunswick, ME 04011-7302 | 2006-05-13 |
| 1053383547 | Leonard V Sherwood | Physician Assistant | 818 Congress St, Portland, ME 04102-3112 | 2006-02-07 |
| 1609877828 | Wayne D Westland | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2005-08-10 |
| Find all providers with the same taxonomy | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
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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.