KEVIN JENKINS (NPI# 1164783452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164783452 |
| Entity Type | Individual |
| Full Name | KEVIN JENKINS |
| Credential | M.D. |
| Practice Address |
10 Hospital Dr Bridgton ME 04009 |
| Mailing Address |
Po Box 397 Lubec ME 04652-0397 |
| Practice Telephone | 2076476000 |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 117018 | AK | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | MD20609 | ME | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Somerset St, Millinocket, ME 044621258 | 2077235161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306384110 | Kevin N. Jenkins | Counselor | 2065 Tacketts Village Sq, Apt. 301, Woodbridge, VA 22192-3425 | 2017-02-01 |
| 1730276163 | Kevin M Jenkins | Internal Medicine | 944b W Foothill Blvd Ste B, Upland, CA 91786-3728 | 2006-10-06 |
| 1942272067 | Kevin D. Jenkins | Chiropractor | 1545 W State St, Hurricane, UT 84737-2059 | 2006-02-02 |
| 1699269159 | Kevin Jenkins | Case Manager/Care Coordinator | 106 Business Park Avenue, Denham Springs, LA 70726 | 2018-06-19 |
| 1396001129 | Kevin Brice Jenkins | Pathology | 520 King Ave, Columbus, OH 43201-2632 | 2012-04-05 |
| 1609070564 | Kevin Jenkins | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2007-06-13 |
| 1538108790 | Kevin R Jenkins | Anesthesiology | 5151 Reed Rd, Suite 225-c, Columbus, OH 43220-2595 | 2006-06-05 |
| Street Address |
10 HOSPITAL DR |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538258 | Paul Monte Alexander | Nurse Anesthetist, Certified Registered | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2005-06-16 |
| 1578113767 | Molly Elizabeth Cahill | Physical Therapist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2019-09-19 |
| 1578074837 | Charles D Burnette | Speech-Language Pathologist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2017-10-13 |
| 1629526306 | Richard H Hart | Physical Therapist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2016-09-12 |
| 1528514056 | Bethanny Araujo | Physical Therapist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2016-08-25 |
| 1861947442 | Emily Hardy | Physical Therapist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2016-08-24 |
| 1376917443 | Jennifer Cyr | Pharmacist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2015-11-30 |
| 1477937266 | Jodi Marie Janda | Physical Therapist | 10 Hospital Dr, Bridgton Hospital Therapy Services, Bridgton, ME 04009-1148 | 2015-07-13 |
| 1558745281 | Emily Perro | Occupational Therapist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2015-07-13 |
| 1508249848 | Anne-marie Bell | Nurse Practitioner | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2015-07-06 |
| Find all providers in the same location | ||||
| 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 |
| 1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
| 1164611703 | Liane Muller, D.o., Pa | Clinic/Center | 63 Main St, Suite A, Bridgton, ME 04009 | 2007-10-19 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316102478 | Susan Denise Paul | Internal Medicine | 25 Hospital Dr, Bridgton, ME 04009-1167 | 2008-07-28 |
| 1265503387 | Peter A Leighton | Internal Medicine | 25 Hospital Dr, Bridgton, ME 04009-1167 | 2006-11-11 |
| 1407827744 | Henry Roy IIi | Internal Medicine | 25 Hospital Dr, Bridgton, ME 04009-1156 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255982856 | Bene Esse, Inc. | Internal Medicine | 28 W Cole Rd Ste 105, Biddeford, ME 04005-9428 | 2019-09-25 |
| 1316426893 | Stephanie Lynne Bosse | Internal Medicine | 33 Whiting Hill Rd Ste 300, Brewer, ME 04412-1021 | 2018-08-07 |
| 1942798707 | Ibis Health Services-maine LLC | Internal Medicine | 140 Main St Ste 3, Freeport, ME 04032-1348 | 2018-04-27 |
| 1629598941 | Sunam M Sujanani | Internal Medicine | 489 State Street Kelley 6, Bangor, ME 04401 | 2017-06-27 |
| 1265889265 | Jared Tobolski | Internal Medicine | 22 Bramhall St Dept Of, Portland, ME 04102-3175 | 2016-05-19 |
| 1154775070 | Katherine M Rizzolo | Internal Medicine | 245 Broadway Apt 206, South Portland, ME 04106-2942 | 2016-04-18 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1851761936 | Arthur Smith | Internal Medicine | 63 Parker Ridge Ln, Apt. 314, Blue Hill, ME 04614-6129 | 2015-10-01 |
| 1134516701 | Anne Longtine | Internal Medicine | 65 Waterville St, Portland, ME 04101 | 2015-04-22 |
| 1982033569 | Maine Laser Skin Care, P.a. | Internal Medicine | 12 Shuman Ave Ste 7, Augusta, ME 04330-6020 | 2013-11-05 |
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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.