ANDREW C CORSELLO (NPI# 1265412951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265412951 |
| Entity Type | Individual |
| Full Name | ANDREW C CORSELLO |
| Credential | M.D. |
| Practice Address |
96 Campus Dr Suite 1 Scarborough ME 04074-7133 |
| Mailing Address |
301c Us Route 1 Scarborough ME 04074-9701 |
| Practice Telephone | 2073965611 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2012-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD15604 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 295850099 | 05 | |
| ME | RR MEDICARE | P00816540 | 01 |
| Street Address |
96 CAMPUS DR SUITE 1 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-7133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240033 | Brooke Sears Ritvo | Internal Medicine | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2005-07-26 |
| 1356954523 | Brittany Ann Giroux | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2020-08-27 |
| 1184252264 | Daniel Adam Svenson | Registered Nurse | 96 Campus Dr, Scarborough, ME 04074-7163 | 2020-04-01 |
| 1780218057 | Melinda Cormier | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2020-02-26 |
| 1659931806 | Lisa Conway | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2019-06-19 |
| 1447714803 | Nicole L Laude | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2019-01-29 |
| 1477027019 | Kathryn Anne Ryan | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2019-01-16 |
| 1477066892 | Molly E Montgomery | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2017-11-07 |
| 1578016499 | Katharine Kennesaw Richards | Nurse Practitioner | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2016-07-27 |
| 1346599958 | Brooke K Maden | Physician Assistant | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2012-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114957388 | Cardiovascular Consultants of Maine Pa | Internal Medicine | 96 Campus Dr Ste 1, Scarborough, ME 04074-7133 | 2006-07-04 |
| 1386937175 | Maine Medical Partners | Internal Medicine | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2011-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992805188 | Richard F Klonoski | Internal Medicine | 82 Gamage Ave, Auburn, ME 04210-4723 | 2006-09-25 |
| 1114202561 | Maine Cardiology Associates | Internal Medicine | 119 Gannett Dr, South Portland, ME 04106-6942 | 2011-10-18 |
| City | SCARBOROUGH |
| Zip Code | 04074 |
Please comment or provide details below to improve the information on ANDREW C CORSELLO.
| 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.