NICHOLAS S. VACHON, D.P.M., P.A. (NPI# 1174795025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174795025 |
| Entity Type | Organization |
| Organization Name | NICHOLAS S. VACHON, D.P.M., P.A. |
| Practice Address |
318 Main Street Ellsworth ME 04605-0662 |
| Mailing Address |
Po Box 662 318 Main Street Ellsworth ME 04605-0662 |
| Practice Telephone | 2076672523 |
| Practice Fax Number | 2076677307 |
| Mailing Telephone | 2076672523 |
| Mailing Fax Number | 2076677307 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | DR. NICHOLAS SCOTT VACHON (DOCTOR OWNER) |
| Authorized Official Telephone | 2076672523 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 198 | ME | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 132930000 | 05 | |
| ME | MEDICARE PTAN | 4226990001 | 01 |
| Street Address |
318 MAIN STREET |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-0662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912961541 | Robert David Scovin | Podiatrist | 34 Surry Rd, Ellsworth, ME 04605-2247 | 2006-04-12 |
| 1245247139 | Nicholas Scott Vachon | Podiatrist | 318 Main St, Ellsworth, ME 04605-0662 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336367416 | Sandy River Podiatry, Pa | Podiatrist | 114 Perham St, Farmington, ME 04938-1520 | 2007-04-23 |
| 1184775447 | Foot & Ankle Center of Southern Maine | Podiatrist | 75 Portland Rd, Kennebunk, ME 04043-6602 | 2007-01-15 |
| 1700933124 | Maurice R Gardner | Podiatrist | 681 Sabattus St, Lewiston, ME 04240-3829 | 2007-01-05 |
| 1962561480 | Brunswick Foot & Ankle Center, LLC | Podiatrist | 2 Union Street, Suite 1, Brunswick, ME 04011 | 2006-12-08 |
| 1003902149 | Peter Tioseco Ocampo | Podiatrist | 25 Plaza Dr, Ste 9, Scarborough, ME 04074-6900 | 2006-10-05 |
| 1003917337 | Kimberly S. Mason | Podiatrist | 357 Plains Rd, Readfield, ME 04355-3125 | 2006-09-26 |
| 1972602423 | Richard Dimario | Podiatrist | 1 Brickyard Lane, Unit A, York, ME 03909 | 2006-09-21 |
| 1659479541 | Christopher A Toth | Podiatrist | 46 Barra Rd Ste 101, Biddeford, ME 04005-9461 | 2006-09-21 |
| 1154425403 | Joseph M Constantine | Podiatrist | 300 Hammond St, Bangor, ME 04401 | 2006-09-08 |
| 1205941952 | Harold E Chamberlin | Podiatrist | 333 Lincoln Street, Kimball Health Ctr, Saco, ME 04072 | 2006-08-21 |
| 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.