FOOT & ANKLE CENTER OF SOUTHERN MAINE (NPI# 1184775447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184775447 |
| Entity Type | Organization |
| Organization Name | FOOT & ANKLE CENTER OF SOUTHERN MAINE |
| Practice Address |
75 Portland Rd Kennebunk ME 04043-6602 |
| Practice Telephone | 2079859888 |
| Practice Fax Number | 2079853488 |
| Mailing Telephone | 2079859888 |
| Mailing Fax Number | 2079853488 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | DAVID MICCA (OWNER AND PROVIDER) |
| Authorized Official Telephone | 2079859888 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
75 PORTLAND RD |
| City | KENNEBUNK |
| State | ME |
| Zip Code | 04043-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366795932 | Sally Ann Warren Dpm Pllc | Podiatrist | 75 Portland Rd, Kennebunk, ME 04043-6602 | 2012-10-19 |
| 1427234327 | Foot and Ankle Center of Southern Maine | Durable Medical Equipment & Medical Supplies | 75 Portland Rd, Kennebunk, ME 04043-6602 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397032 | Savida Agency, Inc. | Psychiatry & Neurology | 21a Western Ave, Suite 1, Kennebunk, ME 04043 | 2019-07-02 |
| 1578018610 | Christine Fecko | Social Worker | 14 Summer Street, Kennebunk, ME 04043 | 2016-08-18 |
| 1861841785 | Sarah Pollack | Pharmacist | 18 Blue Wave Professional Center, Kennebunk, ME 04043 | 2016-06-10 |
| 1417305566 | You&me Psychological and Consultation Services (ypcs) | Psychologist | Room 201, 8-7, Yanghwaro 12gil, Mapo-gu, Seoul, KOREA 04043 | 2016-05-31 |
| 1679933972 | Kimberly Kasten | Physician Assistant | 2 Livewell Drive, South Tower, Suite 200, Kennebunk, ME 04043 | 2016-02-29 |
| 1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
| 1447649280 | Mark Ouellette | Nurse Practitioner | 2 Livewell Drive - North Tower, Kennebunk, ME 04043 | 2015-01-16 |
| 1902155005 | Kristina Caron Occupational Therapy, LLC | Occupational Therapist | 27 Fletcher St Apt 2, Kennebunk, ME 04043 | 2012-09-05 |
| 1174838361 | Tracy Lynn Mason | Occupational Therapist | 87 Fletcher St., Maine Regional School Unit 21, Kennebunk, ME 04043 | 2010-08-11 |
| 1538392261 | Susanne Randall | In Home Supportive Care | 3 Elannas Way, Kennebunk, ME 04043 | 2009-08-28 |
| Find all providers in zip 04043 | ||||
| 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 |
|---|---|---|---|---|
| 1689604282 | Leon P Hickey | Podiatrist | 7 Shape Dr, Kennebunk, ME 04043-6601 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336367416 | Sandy River Podiatry, Pa | Podiatrist | 114 Perham St, Farmington, ME 04938-1520 | 2007-04-23 |
| 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 |
| 1407860232 | Steven Gershman | Podiatrist | 280 Minot Ave, Auburn, ME 04210-4867 | 2006-07-28 |
| 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.