PLASTIC & HAND SURGICAL ASSOCIATES (NPI# 1366453730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366453730 |
Entity Type | Organization |
Organization Name | PLASTIC & HAND SURGICAL ASSOCIATES |
Other Organization Name | WESTERN AVENUE DAY SURGERY CENTER |
Practice Address |
244 Western Ave South Portland ME 04106-2496 |
Practice Telephone | 2077753446 |
Practice Fax Number | 2078791646 |
Mailing Telephone | 2077753446 |
Mailing Fax Number | 2078791646 |
Enumeration Date | 2006-08-11 |
Last Update Date | 2020-05-28 |
Authorized Official Name | THERESE K WHITE (MEDICAL DIRECTOR) |
Authorized Official Telephone | 2077753446 |
Is Organization Subpart | Y |
Parent Organization Name | PLASTIC & HAND SURGICAL ASSOCIATES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
36164 | ME | Ambulatory Health Care Facilities |
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 107150200 | 05 |
Other Name | Type Code |
---|---|
Division of Plastic & Hand Surgical Assoc | Other Name - Individual/Organization |
Western Avenue Day Surgery Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104214204 | Plastic & Hand Surgical Associates | Specialist | 244 Western Ave, South Portland, ME 04106-2430 | 2014-12-26 |
1679687594 | Plastic & Hand Surgical Associates | Surgery | 244 Western Avenue, South Portland, ME 04106-2496 | 2006-08-18 |
Street Address |
244 WESTERN AVE |
City | SOUTH PORTLAND |
State | ME |
Zip Code | 04106-2496 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467817742 | Kristin Joan Marston | Occupational Therapist | 244 Western Ave, South Portland, ME 04106-2430 | 2015-12-30 |
1841688942 | Western Avenue Day Surgery Center | Clinic/Center | 244 Western Ave, South Portland, ME 04106-2430 | 2014-12-26 |
1104214204 | Plastic & Hand Surgical Associates | Specialist | 244 Western Ave, South Portland, ME 04106-2430 | 2014-12-26 |
1740687169 | Suzanne Guinan | Nurse Practitioner | 244 Western Ave, South Portland, ME 04106-2430 | 2014-12-01 |
1720354665 | Eric Roberts Stunkel | Occupational Therapist | 244 Western Ave, South Portland, ME 04106-2430 | 2012-03-26 |
1962727859 | Justin T Zelones | Surgery | 244 Western Ave, South Portland, ME 04106 | 2010-04-02 |
1467610477 | Katharine A Connolly | Plastic Surgery | 244 Western Ave, South Portland, ME 04106-2430 | 2008-05-27 |
1013181007 | Arthur Turko | Surgery | 244 Western Ave, South Portland, ME 04106-2496 | 2008-04-22 |
1891975827 | Sarah P Greven-chaousis | Surgery | 244 Western Ave, South Portland, ME 04106 | 2007-11-07 |
1235266677 | John C. Kirkham | Surgery | 244 Western Ave, South Portland, ME 04106-2430 | 2007-02-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
Find all providers in zip 04106 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538139001 | Casco Bay Endoscopy | Clinic/Center | 25 Long Creek Dr, South Portland, ME 04106-2440 | 2006-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134685019 | Central Maine Orthopaedics Ambulatory Surgery Center, LLC | Clinic/Center | 690 Minot Ave Ste 4, Auburn, ME 04210-3922 | 2019-02-15 |
1215309653 | Bangor Eye Surgery, Pa | Clinic/Center | 900-a Hammond Street, Bangor, ME 04401 | 2015-10-26 |
1639230485 | Central Maine Endoscopy Center, LLC | Clinic/Center | 40 Airport Rd Ste 2, Waterville, ME 04901-4501 | 2006-12-13 |
1376599381 | Eyecare Medical Group | Clinic/Center | 53 Sewall Street, Portland, ME 04102-2625 | 2006-05-25 |
1568967131 | Central Maine Eye Surgery Center LLC | Clinic/Center | 249 Main St, Lewiston, ME 04240-7053 | 2018-03-27 |
1063878734 | Cesc, LLC | Clinic/Center | 128 Bucksport Rd, Suite A, Ellsworth, ME 04605-2239 | 2016-01-11 |
1518382936 | Spectrum Healthcare Partners, P.a | Clinic/Center | 33 Sewall St, Portland, ME 04102-2603 | 2014-02-21 |
1467613299 | Radiance Facial Cosmetic Surgery & Laser Center | Clinic/Center | 181 Academy St, Suite #1, Presque Isle, ME 04769-3178 | 2008-06-24 |
1295855948 | Maine Eye Center, Pa | Clinic/Center | 161 Marginal Way, Portland, ME 04101-2438 | 2007-03-29 |
1942388418 | Intermed Pa | Clinic/Center | 84 Marginal Way, Suite 1000, Portland, ME 04101-2443 | 2006-11-01 |
Find all providers with the same taxonomy |
City | SOUTH PORTLAND |
Zip Code | 04106 |
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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.