DAVID KISPERT (NPI# 1316393093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316393093 |
Entity Type | Individual |
Full Name | DAVID KISPERT |
Credential | MD |
Practice Address |
235 Main St Biddeford ME 04005-2411 |
Practice Telephone | 8442920111 |
Mailing Telephone | 6033595249 |
Enumeration Date | 2016-05-11 |
Last Update Date | 2020-06-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 278749 | MA | Allopathic & Osteopathic Physicians |
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD23845 | ME | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
801 Massachusetts Ave Fl 2, Boston, MA 021182605 | 6176388344 | |
474 Main St, Springvale, ME 040831409 | 2073241500 | |
22 Bramhall St, Portland, ME 041023134 | 2076620111 |
Street Address |
235 MAIN ST |
City | BIDDEFORD |
State | ME |
Zip Code | 04005-2411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902148877 | Teresa A Valente | Social Worker | 235 Main St, Biddeford, ME 04005-2411 | 2013-03-19 |
1184950727 | Megan Patten | Dietitian, Registered | 235 Main St, Biddeford, ME 04005-2411 | 2009-11-01 |
1598803389 | James William Lehr IIi | Social Worker | 235 Main St, Biddeford, ME 04005-2411 | 2007-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
Find all providers in zip 04005 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
1588226328 | Savida Health, PC | Internal Medicine | 21a Western Ave, Suite 1, Kennebunk, ME 04043 | 2019-07-02 |
1477731594 | Arlene M. Kellman | Internal Medicine | 40 Park Rd, Westbrook, ME 04092-3188 | 2008-01-31 |
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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.