MIDCOAST MEDICINE, PA (NPI# 1346328242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346328242 |
| Entity Type | Organization |
| Organization Name | MIDCOAST MEDICINE, PA |
| Practice Address |
195 Union Street Rockport ME 04856 |
| Mailing Address |
Po Box 1079 Rockport ME 04856-1079 |
| Practice Telephone | 2072362169 |
| Practice Fax Number | 2072300413 |
| Mailing Telephone | 2072362169 |
| Mailing Fax Number | 2072300413 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-03-25 |
| Authorized Official Name | MR. CHRIS MCINTOSH (PRACTICE MANAGER) |
| Authorized Official Telephone | 2072362169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 130430000 | 05 |
| Street Address |
195 UNION STREET |
| City | ROCKPORT |
| State | ME |
| Zip Code | 04856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851408454 | Kristin Kalajian | Physician Assistant | 195 Union Street, Rockport, ME 04856 | 2006-08-23 |
| 1528175122 | Linda Peterson | Psychiatry & Neurology | 195 Union Street, Rockport, ME 04856 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171585 | Lisa Manley | Physical Therapist | 6 Glen Cove Drive, Pbmc, Rockport, Me, ME 04856 | 2018-07-25 |
| 1871096834 | Brenda K Berry | Registered Nurse | 731 Commercial Street, Rockport, ME 04856 | 2018-03-15 |
| 1174908495 | Atlantic Behavior Services, Inc | Behavioral Analyst | 112 Union Street, Rockport, ME 04856 | 2015-07-28 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1790024438 | Michelle Gallant | Dental Hygienist | 37 Chickawaukie Pond Rd, Rockport, ME 04856 | 2013-01-31 |
| 1316221666 | Nancy K Alexander | Advanced Practice Midwife | 3 Glen Cove Dr Ste 1, Rockport, ME 04856 | 2011-10-05 |
| 1619283793 | Karen Canfield | Social Worker | 41 Forsest St, Rockport, ME 04856 | 2010-08-26 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1598999369 | Patricia L. Kristiansen | Occupational Therapy Assistant | 6 Madelyn Lane, Rockport, ME 04856 | 2009-05-08 |
| 1801020797 | Tiffany Ann Darge | Dental Hygienist | 1060 Commercial St., Rockport, ME 04856 | 2009-05-07 |
| Find all providers in zip 04856 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518891 | Ernest C. Alsop, Md, Pa | Family Medicine | 400 Enterprise Blvd Bldg D4, Rockport, TX 78382-4341 | 2019-09-30 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1841320926 | Robert N. Merrill | Family Medicine | 821 Commercial St, Rockport, ME 04856-4243 | 2007-03-06 |
| 1184791618 | Susan M Martin | Family Medicine | 3434 W State Road 66, Rockport, IN 47635-9259 | 2006-11-29 |
| 1174632004 | Fred Dixon Warren | Family Medicine | 700 E Mimosa St, Rockport, TX 78382-4151 | 2006-08-30 |
| 1568571446 | Edwin Standifer Haun | Family Medicine | 400 Enterprise Blvd Ste 4, Rockport, TX 78382 | 2006-08-30 |
| 1437266434 | Julie H Hurley | Family Medicine | 7 Madelyn Lane, Suite 200, Rockport, ME 04856 | 2006-08-24 |
| 1265549869 | Mckim C Peterson | Family Medicine | 195 Union St, Midcoast Medicine, Pa, Rockport, ME 04856-6107 | 2006-08-23 |
| 1619084290 | Brian R Pierce | Family Medicine | 643 Rockland St, Suite C, Rockport, ME 04856-5320 | 2006-08-23 |
| 1235152760 | Judith Andersen | Family Medicine | 247 Commercial St, Suite C, Rockport, ME 04856-5964 | 2006-07-25 |
| Find all providers in ROCKPORT | ||||
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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.