MICHAEL JOHN METCALFE (NPI# 1235451311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235451311 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHN METCALFE |
| Credential | MS, ATC, CSCS, CES |
| Practice Address |
239 Park Ave Portland ME 04102-2911 |
| Mailing Address |
550 Forest Ave Ste 102 Portland ME 04101-1505 |
| Practice Telephone | 6512852478 |
| Mailing Telephone | 6512852478 |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT678 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1911 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ATHLETIC TRAINING LICENSE | AT678 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8408 Rochester Ave, Rancho Cucamonga, CA 917303904 | 6512852478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588049076 | Michael Joseph Metcalfe | Special Hospital | 2222 Maroneal St Unit 2013, Houston, TX 77030-3255 | 2015-07-24 |
| 1558751644 | Michael Metcalfe | Case Manager/Care Coordinator | 526 S San Pedro St, Los Angeles, CA 90013-2102 | 2015-01-28 |
| Street Address |
239 PARK AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782550 | Madeleine Vivian Reid | Specialist/Technologist | 204 Maine Ave, Portland, ME 04103-3906 | 2020-08-29 |
| 1154933158 | Jennifer Owens | Specialist/Technologist | 2 Jobs Gate 1, Portland, CT 06480-1750 | 2020-08-20 |
| 1083232847 | Bailey Michelle Allen | Specialist/Technologist | 3521 Ne 154th Ave, Portland, OR 97230-4677 | 2020-07-08 |
| 1568097061 | Rob Gersky | Specialist/Technologist | 2712 Se 170th Ave, Portland, OR 97236-1215 | 2020-03-05 |
| 1922630037 | Vanessa A Guerrero | Specialist/Technologist | 2219 Se 68th Ave # 410, Portland, OR 97215-4026 | 2020-02-06 |
| 1386284453 | Richard J Campbell | Specialist/Technologist | 300 N Winning Way, Portland, OR 97227-2108 | 2020-01-07 |
| 1417597584 | Sarah Ashley Mcsweeney | Specialist/Technologist | 2105 Nw Flanders St Apt 4, Portland, OR 97210-3450 | 2020-01-07 |
| 1629617402 | Roger A Doak | Specialist/Technologist | 1100 Ionia Rd, Portland, MI 48875-1035 | 2019-12-27 |
| 1366096448 | Madeleine Knutson | Specialist/Technologist | 12617 Nw Avignon Ln, Portland, OR 97229-9405 | 2019-07-28 |
| 1720648215 | Nicholas Ryan Thomas | Specialist/Technologist | 4800 Ne 122nd Ave, Portland, OR 97230-1001 | 2019-06-17 |
| Find all providers in PORTLAND | ||||
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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.