CHARLES C HUMPHREY (NPI# 1164402640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164402640 |
| Entity Type | Individual |
| Full Name | CHARLES C HUMPHREY |
| Credential | M.D. |
| Practice Address |
300 Main St Lewiston ME 04240-7007 |
| Mailing Address |
12 Bates St Suite C Lewiston ME 04240-7675 |
| Practice Telephone | 2077952400 |
| Mailing Telephone | 2077863571 |
| Mailing Fax Number | 2077833362 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
012696 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073176798 | Charles B Humphrey | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-04-18 |
| 1346539293 | Charles Robert Humphrey | Pharmacist | 13955 State Rd, North Royalton, OH 44133-3965 | 2011-03-31 |
| 1881874394 | Charles Brady Humphrey | Physician Assistant | 2604 Saint Michael Dr, Ste 425, Texarkana, TX 75503-2379 | 2007-11-13 |
| 1447355508 | Charles Rogers Humphrey | Surgery | 1415 Ross Ave, El Centro, CA 92243-4306 | 2006-09-13 |
| Street Address |
300 MAIN ST |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492865 | Maya K Ahluwalia | Physical Therapist | 300 Main St, Lewiston, ME 04240-7027 | 2020-09-23 |
| 1811519788 | Daniel Shaw | Dietitian, Registered | 300 Main St, Lewiston, ME 04240-7027 | 2020-05-13 |
| 1801427232 | Denise Tso | Physical Therapist | 300 Main St, Lewiston, ME 04240-7027 | 2020-02-04 |
| 1548891237 | Ellen Shrader | Dietitian, Registered | 300 Main St, Lewiston, ME 04240-7027 | 2020-01-31 |
| 1588295828 | Allison Bruno | Dietitian, Registered | 300 Main St, Lewiston, ME 04240-7027 | 2020-01-27 |
| 1578119335 | Chelsea Brown | Physician Assistant | 300 Main St, Lewiston, ME 04240-7027 | 2019-08-16 |
| 1316506017 | Joshua Robert Browning | Physician Assistant | 300 Main St, Lewiston, ME 04240-7027 | 2019-06-07 |
| 1457813313 | Jennifer Dewilde Caswell | Occupational Therapist | 300 Main St, Lewiston, ME 04240-7027 | 2019-04-01 |
| 1124592621 | Emile Thomas Castonguay | Occupational Therapist | 300 Main St, Lewiston, ME 04240-7027 | 2019-01-17 |
| 1841763182 | Macey Nicole Berube | Physical Therapist | 300 Main St, Dept of Physical Therapy, Lewiston, ME 04240-7041 | 2019-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464493 | Gregory Robert Spurling | Radiology | 531 4th Ave, Lewiston, ID 83501-2450 | 2005-08-11 |
| 1528066214 | Brian Block | Radiology | 5300 Military Rd, Xray Dept, Lewiston, NY 14092-1903 | 2005-07-07 |
| 1972751709 | Luke Jonathan Grauke | Radiology | 531 4th Ave, Lewiston, ID 83501-2450 | 2008-09-04 |
| 1164682324 | Matthew D Recker | Radiology | 93 Campus Ave, Lewiston, ME 04240 | 2008-06-11 |
| 1073785580 | Jeremy B Duda | Radiology | 300 Main St, Lewiston, ME 04240-7027 | 2008-03-25 |
| 1871784611 | Jon P Pitman | Radiology | 632 Main St, Lewiston, ME 04240-5935 | 2007-08-07 |
| 1609071760 | Michael E Bell | Radiology | 415 6th St, Lewiston, ID 83501-2431 | 2007-06-19 |
| 1104998905 | James N Place | Radiology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2006-11-15 |
| 1093892218 | Gregory S Friedel | Radiology | 300 Main St, Dept of Radiology, Lewiston, ME 04240-7027 | 2006-11-01 |
| 1750465514 | Paul J Sanchirico | Radiology | 415 6th St, Lewiston, ID 83501-2431 | 2006-10-25 |
| Find all providers in LEWISTON | ||||
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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.