SUZANNE O DATER


Address: 84 Marginal Way, Suite 800, Portland, ME 04101
Phone: 2077745816

SUZANNE O DATER (NPI# 1225009830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225009830
Entity Type Individual
Full Name SUZANNE O DATER
Credential MD
Practice Address 84 Marginal Way
Suite 800
Portland
ME 04101
Mailing Address 100 Foden Rd, West
Suite 203
South Portland
ME 04106-2327
Practice Telephone 2077745816
Practice Fax Number 2075238595
Mailing Telephone 2078280361
Mailing Fax Number 2078741483
Enumeration Date 2006-01-31
Last Update Date 2012-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 015341 ME Allopathic & Osteopathic Physicians

Office Location

Street Address 84 MARGINAL WAY
SUITE 800
City PORTLAND
State ME
Zip Code 04101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255817490 Kayla R. Sirard Physician Assistant 84 Marginal Way, Portland, ME 04101 2018-07-11
1104370980 Meagan Schmersal Nurse Practitioner 84 Marginal Way, Suite 700, Portland, ME 04101 2016-08-09
1265895502 Sean R Lena Internal Medicine 84 Marginal Way, Portland, ME 04101 2016-04-04
1720441595 Kasey R. Little Internal Medicine 84 Marginal Way, Portland, ME 04101-2443 2016-03-30
1588040158 Jennifer L Steffen Nurse Practitioner 84 Marginal Way, Suite 900, Portland, ME 04101-2443 2015-08-06
1487037966 Lauren Shumeyko Nurse Practitioner 84 Marginal Way, Portland, ME 04101-2443 2015-07-02
1386026771 Joan Kallin Newton Nurse Practitioner 84 Marginal Way, Suite 700, Portland, ME 04101-2443 2015-06-23
1336538198 Intermed, Pa Obstetrics & Gynecology 84 Marginal Way, Portland, ME 04101-2443 2015-01-16
1285046144 Julie B. Dark Pediatrics 84 Marginal Way, Portland, ME 04101-2443 2014-05-27
1992125785 Elisabeth W. Deeran Obstetrics & Gynecology 84 Marginal Way, Suite 900, Portland, ME 04101 2014-04-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1255963559 Portcity Home Healthcare LLC In Home Supportive Care 525 Forest Avenue, Suite 8, Portland, ME 04101 2020-02-05
1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770107302 Vpa PC Internal Medicine 1500 Ne 15th Ave Apt 431, Portland, OR 97232-4418 2020-05-29
1073167730 Oregon Adult Medicine PC Internal Medicine 2330 Nw Flanders St Ste 201, Portland, OR 97210-3460 2019-07-30
1265889265 Jared Tobolski Internal Medicine 22 Bramhall St Dept Of, Portland, ME 04102-3175 2016-05-19
1528421039 Celine Haotian Zhou Internal Medicine 3181 Sw Sam Jackson Park Rd, L-579, Ohsu, Portland, OR 97239 2016-04-01
1043685407 Michael David Fox Internal Medicine 1015 Nw 22nd Ave # 230, Portland, OR 97210-3025 2015-12-09
1134516701 Anne Longtine Internal Medicine 65 Waterville St, Portland, ME 04101 2015-04-22
1184016099 Wendy W Yu Internal Medicine 9135 Sw Barnes Rd Ste 763, Portland, OR 97225-6777 2015-03-02
1639586191 Stefan Christison Internal Medicine 1120 Nw 20th Ave Ste 110, Portland, OR 97209-1591 2014-07-16
1336551555 Lee Michael Anthony Internal Medicine 9205 Sw Barnes Rd Mt-2800, Portland, OR 97225-6603 2014-05-22
1558772889 Kyaw Zin Thein Internal Medicine 3485 S Bond Ave, Portland, OR 97239-4503 2014-05-08
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Competitor

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City PORTLAND
Zip Code 04101

Improve Information

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Dataset Information

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.

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