DR. ATAOLLAH LETAFATI (NPI# 1215962642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215962642 |
| Entity Type | Individual |
| Full Name | DR. ATAOLLAH LETAFATI |
| Credential | MD, FACC, FASE |
| Practice Address |
100 Campus Avenue Suite #102 Medical Office Building Lewiston ME 04240 |
| Practice Telephone | 2077774080 |
| Practice Fax Number | 2077778903 |
| Mailing Telephone | 2077774080 |
| Mailing Fax Number | 2077778903 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
8964ME | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 108370000 | 05 |
| Street Address |
100 CAMPUS AVENUE SUITE #102 MEDICAL OFFICE BUILDING |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518928613 | Brigitte M Hristea | Psychiatry & Neurology | 100 Campus Avenue, Suite 208, Lewiston, ME 04240 | 2006-03-29 |
| 1285773135 | Susan E Martin | Counselor | 100 Campus Avenue, Suite 208, Lewiston, ME 04240 | 2007-02-06 |
| 1619060241 | Catherine C Leschey | Psychologist | 100 Campus Avenue, Suite 208, Lewiston, ME 04240 | 2006-10-02 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1386885705 | Lawrence D. Baker | Internal Medicine | 106 Campus Ave., Lewiston, ME 04240-6019 | 2009-03-14 |
| 1578699310 | Anthony C Borgese | Internal Medicine | 5241 Paddock Ln, Lewiston, NY 14092-2034 | 2007-02-26 |
| 1700983137 | Lee Walter Gould | Internal Medicine | 307 St. John's Way, Suite 114, Lewiston, ID 83501-2456 | 2006-09-20 |
| 1427003243 | Imagin Nuclear Partners Incorporated | Internal Medicine | 631 Morgan Dr, Lewiston, NY 14092-1142 | 2006-05-23 |
| 1578558532 | Richard S Shulman | Internal Medicine | 60 High St, Lewiston, ME 04240-7616 | 2005-09-15 |
| 1164414595 | William Westel Rowe | Internal Medicine | 415 6th St, Lewiston, ID 83501-2434 | 2005-08-22 |
| 1295174514 | Dafina Pruthi | Internal Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2013-06-19 |
| 1760767255 | Maine Cardiology Associates | Internal Medicine | 198 Main St, Suite A, Lewiston, ME 04240-7640 | 2011-10-15 |
| 1093012726 | Beata Anna Bajgierowicz | Internal Medicine | 60 High St, Lewiston, ME 04240-7616 | 2011-02-15 |
| 1487967253 | Providence Health & Services | Internal Medicine | 307 St Johns Way, Lewiston, ID 83501-2435 | 2010-07-21 |
| 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.