JEAN MARIE ANTONUCCI


Address: 115 Mt Blue Cir, Ste 2, Farmington, ME 04938-6239
Phone: 2077783313

JEAN MARIE ANTONUCCI (NPI# 1356347900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356347900
Entity Type Individual
Full Name JEAN MARIE ANTONUCCI
Credential MD
Practice Address 115 Mt Blue Cir
Ste 2
Farmington
ME 04938-6239
Practice Telephone 2077783313
Practice Fax Number 2077783544
Mailing Telephone 2077783313
Mailing Fax Number 2077783544
Enumeration Date 2005-06-27
Last Update Date 2011-11-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 12782 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME STATE LISENSE 12782 01
ME ANTHEM 048285 01
ME 298980000 05

Office Location

Street Address 115 MT BLUE CIR
STE 2
City FARMINGTON
State ME
Zip Code 04938-6239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033549357 Kathleen Harvey Social Worker 115 Mt Blue Cir, Farmington, ME 04938-6276 2013-11-22
1538148978 Paul Blake Wooden Family Medicine 115 Mt Blue Cir, Suite 3, Farmington, ME 04938-6239 2006-01-13
1659365641 Kimberly K Gooch Internal Medicine 115 Mt Blue Cir, Farmington, ME 04938-6239 2005-09-06
1164420907 Sharmila Das-wattley Podiatrist 115 Mt Blue Cir, Farmington, ME 04938-6239 2005-07-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831704964 Cary Rae Millbury Social Worker 16 Middle Street, Farmington, ME 04938 2020-09-15
1538615224 Woodlands Senior Living of Farmington, LLC Alzheimer Center (Dementia Center) 175 Knowlton Corner Rd., Farmington, ME 04938 2016-09-01
1740617158 Jason Pratt Pharmacist 624 Wilton Road, Farmington, ME 04938 2013-09-30
1194050195 New Communities, Inc. Assisted Living Facility 136 Rosewood Drive, Farmington, ME 04938 2009-10-08
1477787364 Jennifer Zeliger Obstetrics & Gynecology Franklin Health Women's Care, 181 Franklin Health Commons, Farmington, ME 04938 2009-05-07
1649412602 Work First, Inc. Day Training, Developmentally Disabled Services 309 Wilton Road, 309 Wilton Road, Farmington, ME 04938 2009-04-06
1598943110 Peter W Swallow Dentist 107 Box Shop Hill, Farmington, ME 04938 2008-02-06
1477620706 Scott D Christie Psychologist 176 Livermore Falls Road, Farmington, ME 04938 2006-11-30
1104900836 Angela M Thompson Social Worker 144 High Street, Ste 1, Farmington, ME 04938 2006-10-25
1124101464 Evergreen Behavioral Services Clinic/Center 131 Franklin Health Commons, Suite A Mt Blue Health Center, Farmington, ME 04938 2006-10-23
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649757915 Tuta Sano Pllc Family Medicine 57 W Grove Creek Cir, Farmington, UT 84025-4732 2018-07-19
1063891570 Jantzen T Slater Family Medicine 199 E. Main St., Farmington, AR 72730-3077 2015-05-29
1255759262 Arthur Wiser Family Medicine 101 New Meadow Run Dr Dept Of, Farmington, PA 15437-1391 2014-04-07
1427304203 Joseph Samuel Emond Jr. Family Medicine 19730 Meadowlark Way, Farmington, MN 55024 2012-07-30
1457643835 Saira Rani Family Medicine 406 Farmington Ave Ste 1, Farmington, CT 06032-1964 2011-05-04
1023310158 Carson Wright Family Medicine 16 Munson Rd University of Connecticut, Correctional Managed Health Care, Farmington, CT 06030-5386 2010-11-22
1538471313 Brett Blaser Family Medicine 140 N Union Ave, Ste F-300, Farmington, UT 84025-2953 2010-07-08
1427376300 Sharon R. Wipf Family Medicine 103 New Meadow Run Drive, Farmington, PA 15437 2010-05-17
1609005693 Vikas Vinodray Bhimani Family Medicine 23133 Orchard Lake Rd Ste 102, Farmington, MI 48336-3278 2009-07-10
1699901231 Daniel Wilford Broadbent Family Medicine 991 Shepard Ln, Ste 200, Farmington, UT 84025-2972 2009-06-10
Find all providers in FARMINGTON

Competitor

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City FARMINGTON
Zip Code 04938

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Dataset Information

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.

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