KIMBERLY ANNE MAYS DE PEREZ (NPI# 1255531604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255531604 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNE MAYS DE PEREZ |
| Credential | M.D. |
| Practice Address |
22 Hartford St Houlton Family Practice Ob/gyn Houlton ME 04730-1844 |
| Mailing Address |
22 Hartford St Houlton ME 04730-1844 |
| Practice Telephone | 2075324017 |
| Practice Fax Number | 2075324019 |
| Mailing Telephone | 2075324017 |
| Mailing Fax Number | 2075324019 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD17915 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | RAILROAD MEDICARE | P00654564 | 01 |
| ME | MEDICARE PTAN | 000730701 | 01 |
| Street Address |
22 HARTFORD ST HOULTON FAMILY PRACTICE OB/GYN |
| City | HOULTON |
| State | ME |
| Zip Code | 04730-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161476 | Chester M. Husted | Specialist | 22 Hartford St, Suite 400, Houlton, ME 04730-1844 | 2005-08-11 |
| 1023622560 | Kaitlin Anne Koppel | Nurse Practitioner | 22 Hartford St, Houlton, ME 04730-1844 | 2020-09-02 |
| 1427312875 | Amira Elmagbari | Internal Medicine | 22 Hartford St, Houlton, ME 04730-1844 | 2012-06-30 |
| 1417238098 | Lyndsi Ward | Nurse Practitioner | 22 Hartford St, Houlton, ME 04730-1844 | 2011-09-08 |
| 1366734170 | Solomon Babajide Olabiyi | Internal Medicine | 22 Hartford St, Houlton, ME 04730-1844 | 2011-05-11 |
| 1689839391 | Lakshmimalini Govindan | Obstetrics & Gynecology | 22 Hartford St, Houlton, ME 04730-1844 | 2008-07-22 |
| 1326227588 | Joseph P Fahey | Pediatrics | 22 Hartford St, Houlton, ME 04730-1844 | 2007-10-24 |
| 1871688812 | Robert I Mosenfelder | Obstetrics & Gynecology | 22 Hartford St, Ste 4, Houlton, ME 04730-1844 | 2006-10-04 |
| 1831284918 | Lee G Bland | Physician Assistant | 22 Hartford St, Houlton, ME 04730-1891 | 2006-10-04 |
| 1437185337 | Matthew J Cowan | Physician Assistant | 22 Hartford St, Houlton, ME 04730-1844 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924322 | Sarah Lee Lynds | Occupational Therapy Assistant | 20 Harford St, Houlton, ME 04730 | 2019-04-02 |
| 1518267715 | Jill Forest | Case Manager/Care Coordinator | 147 Hodgdon Mills Road, Hodgdon, ME 04730 | 2010-10-22 |
| 1689989097 | Miriam Carter | Speech-Language Pathologist | 65 South St., Rsu #29, Houlton, ME 04730 | 2010-08-10 |
| 1821296708 | Carl Malcolm Tingley | Physical Therapy Assistant | 342 Mcsheffery Road, Houlton, ME 04730 | 2007-07-03 |
| 1386847804 | Jennifer Ann Gooley | Physical Therapy Assistant | 94 Militay St., Madigan Estates, Holton, ME 04730 | 2007-06-11 |
| 1386783173 | Bruce Merrill Harvey | Chiropractor | 22 B Road, Houlton, ME 04730 | 2007-02-06 |
| 1225124050 | Houlton Band of Maliseet Indians | Clinic/Center | 12 Clover Circle, Houlton, ME 04730 | 2006-10-05 |
| 1205929171 | Donald P Woods | Dentist | 88 Mcsheffery Rd, Houlton, ME 04730 | 2006-10-02 |
| 1578665485 | Donald G Brushett | Family Medicine | 59 Bangor Street, Katahdin Valley Health Center, Houlton, ME 04730 | 2006-09-01 |
| 1518463470 | A New Start LLC | Social Worker | 22 North Street, Houiton, ME 04730 | 2018-03-31 |
| Find all providers in zip 04730 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689839391 | Lakshmimalini Govindan | Obstetrics & Gynecology | 22 Hartford St, Houlton, ME 04730-1844 | 2008-07-22 |
| 1871688812 | Robert I Mosenfelder | Obstetrics & Gynecology | 22 Hartford St, Ste 4, Houlton, ME 04730-1844 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554924 | Lissa Marie Diaz Ecker | Obstetrics & Gynecology | 7 Tiger Lily Ln, Cape Elizabeth, ME 04107-5107 | 2019-02-13 |
| 1851749089 | Erica Leigh Jacovetty | Obstetrics & Gynecology | 121 Medical Center Dr Ste 2700, Brunswick, ME 04011-2669 | 2016-05-27 |
| 1902268048 | Jordan Faloon | Obstetrics & Gynecology | 193 Main St Ste 3, Norway, ME 04268-5645 | 2016-03-28 |
| 1053724757 | Alec Anderson | Obstetrics & Gynecology | 417 State Stree, Webber West Suite 141, Bangor, ME 04401 | 2014-06-10 |
| 1760820385 | John Ogorek | Obstetrics & Gynecology | 100 Brickhill Ave Ste 23, Portland, ME 04106-1999 | 2013-06-05 |
| 1174877187 | Karen Lynn King | Obstetrics & Gynecology | 8 Balsam Ave, Brunswick, ME 04011-9369 | 2012-10-30 |
| 1841557170 | Eleonore Pettit Werner | Obstetrics & Gynecology | 84 Marginal Way Ste 900, Portland, ME 04101-2476 | 2012-04-11 |
| 1669606521 | Caroline Foust-wright | Obstetrics & Gynecology | 300 Southborough Dr, Suite 201, South Portland, ME 04106-6914 | 2009-05-07 |
| 1477787364 | Jennifer Zeliger | Obstetrics & Gynecology | Franklin Health Women's Care, 181 Franklin Health Commons, Farmington, ME 04938 | 2009-05-07 |
| 1356548168 | Christopher Alan Rumsey | Obstetrics & Gynecology | 700 Mount Hope Ave Ste 480, Bangor, ME 04401-5659 | 2007-06-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIMBERLY ANNE MAYS DE PEREZ.
| 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.