DR. KRYSTIAN W BIGOSINSKI (NPI# 1245450832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245450832 |
| Entity Type | Individual |
| Full Name | DR. KRYSTIAN W BIGOSINSKI |
| Credential | MD |
| Practice Address |
100 Brickhill Avenue Suite 303 South Portland ME 04106 |
| Mailing Address |
301c Us Route One Scarborough ME 04074 |
| Practice Telephone | 2077730040 |
| Practice Fax Number | 2078244900 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2014-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD20416 | ME | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
036121017 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE MEDICAL LISCENCE | ML20008426 | 01 |
| IL | IL STATE MEDICAL LICENSE | 036121017 | 01 |
| Street Address |
100 BRICKHILL AVENUE SUITE 303 |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649226655 | Moritz H Hansen | Urology | 100 Brickhill Avenue, South Portland, ME 04106 | 2006-05-25 |
| 1932509692 | Cindy Curry | Nurse Practitioner | 100 Brickhill Avenue, South Portland, ME 04106-6914 | 2014-09-01 |
| 1619923307 | Brian M Jumper | Urology | 100 Brickhill Avenue, South Portland, ME 04106 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861561581 | Heather M Gillespie | Family Medicine | 119 Gannett Dr, South Portland, ME 04106-6942 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841326022 | Kenneth Robert Mckenzie | Family Medicine | 47 Unity Rd, Albion, ME 04910-6151 | 2007-02-24 |
| 1396739520 | William W Dexter | Family Medicine | 272 Congress St, Portland, ME 04102 | 2005-09-02 |
| 1104289990 | Stefanie Lauren Lewis | Family Medicine | 6 E Chestnut St, Augusta, ME 04330-5758 | 2016-03-30 |
| 1508278904 | James Alex | Family Medicine | 22 Bramhall St, Portland, ME 04102-3134 | 2014-05-20 |
| 1407266778 | Mary Iaculli | Family Medicine | 331 Veranda St, Portland, ME 04103-5545 | 2014-05-07 |
| 1114213667 | Alison Savage Lee | Family Medicine | 33 Sewall St, Portland, ME 04102-2603 | 2011-06-23 |
| 1407176175 | Robert B Stevens | Family Medicine | 35 Medical Center Pkwy, Augusta, ME 04330 | 2010-06-04 |
| 1083824106 | Cameron Lee Trubey | Family Medicine | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-05-24 |
| 1336264316 | John P Colianni | Family Medicine | 331 Veranda St, Portland, ME 04103-5545 | 2007-03-20 |
| 1083782916 | Elizabeth E Rothe | Family Medicine | 77 Bates St, Suite 201, Lewiston, ME 04240-7637 | 2006-11-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
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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.