DR. KAREN BRUCK (NPI# 1396786554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396786554 |
| Entity Type | Individual |
| Full Name | DR. KAREN BRUCK |
| Credential | MD |
| Practice Address |
57 Water St Blue Hill ME 04614 |
| Mailing Address |
725 North St Pittsfield MA 01201-4124 |
| Practice Telephone | 2073743911 |
| Practice Fax Number | 2073743986 |
| Mailing Telephone | 4133957572 |
| Mailing Fax Number | 4135536760 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 015725 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICAID BHMH | 102380100 | 01 | |
| MEDICARE A BHMH SWING BED | 20Z300 | 01 | |
| MED B BHMH | SX3479 | 01 | |
| HARVARD PILGRIM | AA105016 | 01 | |
| MED A BHMH | 201300 | 01 | |
| ANTHEM | 061408 | 01 | |
| MEDICARE B BHMH | 200051 | 01 | |
| AETNA HMO | 7243065 | 01 |
| Street Address |
57 WATER ST |
| City | BLUE HILL |
| State | ME |
| Zip Code | 04614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498461 | Mark Kaplan | Emergency Medicine | 57 Water St, Blue Hill, ME 04614 | 2005-06-28 |
| 1104447820 | Karyn Jessie Howe | Nurse Practitioner | 57 Water St, Blue Hill, ME 04614-5231 | 2020-05-05 |
| 1134616824 | Tiffany Ann Eaton | Nurse Practitioner | 57 Water St, Blue Hill, ME 04614 | 2018-04-18 |
| 1710232236 | Tiana J. Larson | Midwife | 57 Water St, Blue Hill, ME 04614-5231 | 2012-07-20 |
| 1780950741 | Christopher G. Smith | Registered Nurse | 57 Water St, Blue Hill, ME 04614 | 2012-03-23 |
| 1033425616 | Laurie Farley | Nurse Practitioner | 57 Water St, Blue Hill, ME 04614 | 2010-08-20 |
| 1487737730 | James Philip White | Orthopaedic Surgery | 57 Water St, Blue Hill, ME 04614 | 2006-10-23 |
| 1902904808 | Monica C Coffey | Nurse Practitioner | 57 Water St, Blue Hill, ME 04614-5231 | 2006-09-21 |
| 1861502379 | Insight-premier Health LLC | Physiological Laboratory | 57 Water St, Blue Hill, ME 04614 | 2006-08-30 |
| 1255374260 | Burton W Pearl | Orthopaedic Surgery | 57 Water St, Blue Hill, ME 04614-5231 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548666811 | Cas Services, Inc | In Home Supportive Care | 442 Pleasant Street, Blue Hill, ME 04614 | 2014-11-13 |
| 1295027795 | Pborchard, LLC | Social Worker | 200 Woods Point Road, Blue Hill, ME 04614 | 2011-05-03 |
| 1992002554 | Lorinda L Toscas | Acupuncturist | 154 Ellsworth Road, Blue Hill, ME 04614 | 2011-02-17 |
| 1417180944 | Joanne Rauscher | Physical Therapist | 82 Water St., Blue Hill, ME 04614 | 2009-09-01 |
| 1043444102 | Washington Hancock Community Agency | Community/Behavioral Health | 118 Ellsworth Road, Blue Hill, ME 04614 | 2009-05-05 |
| 1669614541 | Sarah Jean De Preter | Chiropractor | 20 E. Blue Hill Road, Blue Hill, ME 04614 | 2009-03-24 |
| 1164669263 | Wellness Chiropractic P.c | Chiropractor | 20 East Blue Hill Rd., Blue Hill, ME 04614 | 2009-01-12 |
| 1538381892 | School Union 93 | Local Education Agency (LEA) | 20 Hinkley Ridge Road, Blue Hill, ME 04614 | 2007-05-03 |
| 1962624221 | School Union 93 | Local Education Agency (LEA) | 20 Hinckley Ridge Road, Blue Hill, ME 04614 | 2007-05-03 |
| 1891916821 | Walter Ross Greenlaw Jr. | Dentist | 120 South Street, Blue Hill Peninsula Dental, Blue Hill, ME 04614 | 2007-05-01 |
| Find all providers in zip 04614 | ||||
| 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 |
|---|---|---|---|---|
| 1578506531 | Richard G. Hines | Family Medicine | 65 Water St, Sussman Office Building, Blue Hill, ME 04614-5231 | 2006-06-14 |
| 1043211022 | Brandt Eric Rice | Family Medicine | 151 E Blue Hill Rd, Blue Hill, ME 04614-5306 | 2005-08-02 |
| 1629185350 | The Mary Lanning Memorial Hospital Association | Family Medicine | 102 N Pine St, Blue Hill, NE 68930-5532 | 2006-08-25 |
| 1902919335 | Jerri Jensen | Family Medicine | 57 Water Street, Blue Hill, ME 04614 | 2006-08-17 |
| 1720022866 | Lisa A. Lesko | Family Medicine | 57 Water Street, Blue Hill, ME 04614 | 2006-06-16 |
| 1326082405 | Thomas H Bugbee | Family Medicine | 57 Water Street, Blue Hill, ME 04614 | 2006-06-16 |
| 1346285392 | Arthur D. Newkirk | Family Medicine | 57 Water Street, Blue Hill, ME 04614 | 2006-06-16 |
| 1548204183 | Stacey Henner Walden | Family Medicine | 57 Water Street, Blue Hill, ME 04614 | 2006-06-15 |
| 1043253016 | Philip Elkin | Family Medicine | 57 Water Street, Blue Hill, ME 04614 | 2006-06-14 |
| 1699718627 | Robert Baroody | Family Medicine | 57 Water Street, Blue Hill, ME 04614 | 2006-06-14 |
| Find all providers in BLUE HILL | ||||
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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.