MAINEGENERAL HEALTH ASSOCIATES (NPI# 1285690263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285690263 |
| Entity Type | Organization |
| Organization Name | MAINEGENERAL HEALTH ASSOCIATES |
| Other Organization Name | KENNEBEC PEDIATRICS |
| Practice Address |
263 Water St Augusta ME 04330-4609 |
| Mailing Address |
150 Dresden Ave Gardiner ME 04345-2615 |
| Practice Telephone | 2076232977 |
| Practice Fax Number | 2076269374 |
| Mailing Telephone | 2076219337 |
| Mailing Fax Number | 2076213609 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | BARBARA A CROWLEY (PRESIDENT, MGHA) |
| Authorized Official Telephone | 2076261063 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kennebec Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598721631 | Mainegeneral Health Associates | Internal Medicine | Nephrology Services, 149 North St., Waterville, ME 04901 | 2006-04-26 |
| 1629034129 | Mainegeneral Health Associates | Physician Assistant | 11 Caldwell Rd, Augusta, ME 04330-5739 | 2006-04-24 |
| 1538125034 | Mainegeneral Health Associates | Psychiatry & Neurology | 40 Glendridge Dr, Augusta, ME 04330 | 2006-04-24 |
| 1326379942 | Mainegeneral Health Associates | Family Medicine | 9 Pleasant St, Oakland, ME 04963-5034 | 2010-01-21 |
| 1942453683 | Mainegeneral Health Associates | Family Medicine | 13 Railroad Sq, Kennebec Family Practice, Waterville, ME 04901-6139 | 2008-10-28 |
| 1144405705 | Mainegeneral Health Associates | Allergy & Immunology | 6 E Chestnut St, Augusta, ME 04330-5717 | 2008-01-02 |
| 1801084256 | Mainegeneral Health Associates | Surgery | 325b Kennedy Memorial Dr, Waterville, ME 04901-4517 | 2007-10-11 |
| 1790982809 | Mainegeneral Health Associates | Nurse Practitioner | 246 Kennedy Memorial Dr, Waterville, ME 04901-4556 | 2007-07-02 |
| 1669439303 | Mainegeneral Health Associates | Nurse Practitioner | 77 Sewall St, Augusta, ME 04330-6328 | 2006-04-27 |
| 1578529558 | Mainegeneral Health Associates | Nurse Practitioner | 149 Main St, Suite 2a, Winthrop, ME 04364-1486 | 2006-04-26 |
| Street Address |
263 WATER ST |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437123197 | Barbara A Crowley | Pediatrics | 263 Water St, Augusta, ME 04330-4609 | 2006-02-17 |
| 1043537178 | Child Development Services | Early Intervention Provider Agency | 263 Water St, Suite 500, Augusta, ME 04330-4609 | 2010-04-29 |
| 1982670410 | Margaret R Lewis | Nurse Practitioner | 263 Water St, Augusta, ME 04330-4609 | 2006-02-24 |
| 1508832049 | Martha C Soule | Physician Assistant | 263 Water St, Augusta, ME 04330-4609 | 2006-02-24 |
| 1184690612 | Stephen J Meister | Pediatrics | 263 Water St, Augusta, ME 04330-4609 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
| 1033734918 | Lauren Wooten Smith | Pediatrics | Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-16 |
| 1487211199 | Ashley Elizabeth Miller | Pediatrics | 1146 Harper Street, Augusta, GA 30912-0001 | 2019-05-29 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1558824797 | John-david Constantine Bruce | Pediatrics | Dugas Building (bg-1071) 1120 15th Street, Augusta, GA 30912-0001 | 2019-04-12 |
| 1306229182 | Alexander James Eason | Pediatrics | Georgia Regents Medical Ctr, 1120 15th Street, Augusta, GA 30912-0001 | 2015-06-30 |
| 1184945339 | Shannon Nicole Myers | Pediatrics | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2010-06-22 |
| 1801113386 | Gerard Rubin | Pediatrics | 6 E Chestnut St Ste 310, Augusta, ME 04330-5717 | 2010-04-23 |
| 1013246487 | William Weston IIi | Pediatrics | 93 Bristlecone Ct., Augusta, GA 30909-1861 | 2009-12-15 |
| 1225285372 | Mustafa Musa Nimir | Pediatrics | 1120 15th St Ae-3042, Medical College of Georgia, Augusta, GA 30912-5000 | 2008-08-20 |
| Find all providers in AUGUSTA | ||||
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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.