ADVANCED FOOT CARE AND LASER CENTER,PA (NPI# 1366653982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366653982 |
| Entity Type | Organization |
| Organization Name | ADVANCED FOOT CARE AND LASER CENTER,PA |
| Practice Address |
1250 Forest Ave Suite 303 Portland ME 04103-1884 |
| Practice Telephone | 2078783400 |
| Mailing Telephone | 2078783400 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT E KUVENT (PRESIDENT) |
| Authorized Official Telephone | 2078783400 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD197 | ME | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1250 FOREST AVE SUITE 303 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-1884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254057 | Robert R. Denton | Physical Therapist | 1250 Forest Ave, Portland, ME 04103-1884 | 2005-06-10 |
| 1740724228 | Lindsey Jean Koocher | Nurse Practitioner | 1250 Forest Ave, Portland, ME 04103-1889 | 2016-12-19 |
| 1568828846 | Athena Beaulieu | Physical Therapist | 1250 Forest Ave, Portland, ME 04103-1889 | 2016-01-03 |
| 1962803940 | Robert Taylor Dpm PC | Podiatrist | 1250 Forest Ave, Suite 303, Portland, ME 04103-1889 | 2014-09-10 |
| 1215360110 | Kevin Michael Lukis | Dentist | 1250 Forest Ave, Ste 3b, Portland, ME 04103-1889 | 2013-08-14 |
| 1588000954 | Rebecca Harvey | Otolaryngology | 1250 Forest Ave, Portland, ME 04103 | 2013-05-13 |
| 1710238126 | John A Dudley | Physician Assistant | 1250 Forest Ave, Suite 301, Portland, ME 04103-1889 | 2012-09-25 |
| 1700134525 | Matthew M. Papsadora | Physical Therapist | 1250 Forest Ave, Portland, ME 04103-1889 | 2012-08-28 |
| 1295081172 | Lindsay Ann Ekey | Audiologist | 1250 Forest Ave, Suite 301, Portland, ME 04103-1889 | 2012-07-30 |
| 1821396094 | Stacia L. Thomas | Audiologist | 1250 Forest Ave, Ste 301, Portland, ME 04103-1889 | 2011-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033560867 | John M Barnes Dpm LLC | Podiatrist | 9615 Nw Randall Ln, Portland, OR 97229-5294 | 2016-06-22 |
| 1619338829 | Cara Beach | Podiatrist | 9900 Sw Hall Blvd Ste 100, Portland, OR 97223-5838 | 2016-03-15 |
| 1265743090 | Nanjin Jasmine Park | Podiatrist | 5311 Sw Baird St, Portland, OR 97219-5023 | 2010-06-26 |
| 1538339395 | Joseph Michael Mozena | Podiatrist | 2227 Ne Hancock St, Portland, OR 97212-4873 | 2008-03-08 |
| 1245443100 | Daniel L Nusser | Podiatrist | 2809 Ne Broadway, Portland, OR 97232 | 2007-05-08 |
| 1114048667 | Dr John D Mozena Dpm PC | Podiatrist | 8305 Se Monterey Ave Ste 101, Portland, OR 97266-7728 | 2007-04-03 |
| 1124116231 | Ray A Mcclanahan | Podiatrist | 725 Nw 19th Ave, Portland, OR 97209 | 2006-10-11 |
| 1942392113 | John M Barnes | Podiatrist | 506 Ne 49th Ave, Portland, OR 97213-2928 | 2006-09-28 |
| 1427150028 | Christopher S. Seuferling Dpm PC | Podiatrist | 7940 Se Division St, Suite E, Portland, OR 97206-1046 | 2006-09-03 |
| 1598867186 | Almira Ko | Podiatrist | 3586 Nw 112th Pl, Portland, OR 97229-4585 | 2006-09-02 |
| Find all providers in PORTLAND | ||||
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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.