LIANE MULLER, D.O., PA (NPI# 1164611703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164611703 |
| Entity Type | Organization |
| Organization Name | LIANE MULLER, D.O., PA |
| Practice Address |
63 Main St Suite A Bridgton ME 04009 |
| Mailing Address |
Po Box 118 Bridgton ME 04009-0118 |
| Practice Telephone | 2076472440 |
| Practice Fax Number | 2076473775 |
| Mailing Telephone | 2076472440 |
| Mailing Fax Number | 2076473775 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2012-10-29 |
| Authorized Official Name | DR. LIANE MULLER (PRESIDENT) |
| Authorized Official Telephone | 2076472440 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 1869 | ME | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 5488624 | 01 | |
| AETNA | 1127587 | 01 | |
| ANTHEM | 099629 | 01 | |
| ME | 431995900 | 05 | |
| HARVARD PILGRIM | I33516 | 01 |
| Street Address |
63 MAIN ST SUITE A |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1316435407 | Caitlin D Ambo | Counselor | 32 No High Street, Bridgton, ME 04009 | 2018-04-25 |
| 1205215290 | Brianna J Meister | Counselor | 37 No High Street, Bridgton, ME 04009 | 2015-05-22 |
| 1013120898 | Maine Administrative School District No 61 | Local Education Agency (LEA) | 900 Bridgton Road, Bridgton, ME 04009 | 2007-05-08 |
| 1114051984 | R. Andrew Derstine | Counselor | 236a Portland Rd, Bridgton, ME 04009 | 2007-03-15 |
| 1184784878 | Good Neighbors, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Sandy Creek Rd, Bridgton, ME 04009 | 2006-12-11 |
| 1578593570 | Lake Region Physical Therapy Pa | Physical Therapist | 593 Harrison Rd, Bridgton, ME 04009 | 2006-07-04 |
| 1164783452 | Kevin Jenkins | Internal Medicine | 10 Hospital Dr, Bridgton, ME 04009 | 2012-06-03 |
| 1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
| 1376614842 | Liane M Muller | Neuromusculoskeletal Medicine & OMM | 63 Main Street, Suite A, Bridgton, ME 04009 | 2006-11-13 |
| Find all providers in zip 04009 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1215359146 | Rosebush Chiropractic LLC | Clinic/Center | 980 Forest Ave Ste 102, Portland, ME 04103-3357 | 2014-01-12 |
| 1609137843 | Access Health Renewal | Clinic/Center | 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 | 2012-06-05 |
| 1225321961 | Orono Med Now | Clinic/Center | 16 Mill Street, Uite 4, Orono, ME 04473 | 2011-05-26 |
| 1003083346 | Gerald M Gerrish Dc Pa | Clinic/Center | 276 State Highway 3, Bar Harbor, ME 04609-7539 | 2008-05-15 |
| 1700050390 | Maine School Administrative District #75 | Clinic/Center | 73 Eagles Way, Mt. Ararat High School, Topsham, ME 04086-1239 | 2008-04-15 |
| 1710150966 | Berwick Walk In Care | Clinic/Center | 4 Dana Dr, Berwick, ME 03901-2767 | 2008-04-09 |
| 1285762328 | City of Calais | Clinic/Center | 34 Blue Devil Hill, Calais, ME 04619 | 2007-03-01 |
| 1942336722 | Lincoln Academy School Based Healthcenter | Clinic/Center | 81 Academy Hl, Newcastle, ME 04553-3433 | 2007-02-26 |
| Find all providers with the same taxonomy | ||||
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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.