MRS. DORENE A DOSTAL-JOHNSON (NPI# 1407886443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407886443 |
| Entity Type | Individual |
| Full Name | MRS. DORENE A DOSTAL-JOHNSON |
| Credential | FNP |
| Practice Address |
15 Gracelawn Rd Auburn ME 04210-6334 |
| Mailing Address |
Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 2073334799 |
| Practice Fax Number | 2073334767 |
| Mailing Telephone | 2077778950 |
| Mailing Fax Number | 2077778800 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP81264 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Brickhill Ave, South Portland, ME 041061999 | 2077731728 |
| Street Address |
15 GRACELAWN RD |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-6334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719391 | Paul James Balzer Jr. | Family Medicine | 15 Gracelawn Rd, Suite 103, Auburn, ME 04210-6334 | 2005-12-01 |
| 1578199246 | Tammy Lynn Abbott | Nurse Practitioner | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2020-03-13 |
| 1548638232 | Brittany A Roy | Physician Assistant | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2015-09-11 |
| 1033598008 | Mohamed Ali Al Saied | Orthopaedic Surgery | 15 Gracelawn Rd, Suite 101, Auburn, ME 04210-6347 | 2015-05-24 |
| 1023433000 | Allison Baysol | Physician Assistant | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2014-02-27 |
| 1730520081 | Ashley S Hamilton-ellis | Nurse Practitioner | 15 Gracelawn Rd, Suite 103, Auburn, ME 04210-6334 | 2013-07-16 |
| 1366702821 | Alycia D Reppel | Physical Medicine & Rehabilitation | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2012-05-17 |
| 1568792224 | St. Mary's Health System | Preventive Medicine | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2009-12-31 |
| 1104054071 | Lars Mikael Qvick | Orthopaedic Surgery | 15 Gracelawn Rd, Suite 101, Auburn, ME 04210-6334 | 2009-06-30 |
| 1932124013 | Pamela Sirois | Nurse Practitioner | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935658 | Judith A Glover | Nurse Practitioner | 1101 Rock Elm Dr, Auburn, GA 30011-2393 | 2020-09-02 |
| 1568075190 | Carey Webster | Nurse Practitioner | 11775 Education St Ste 210, Auburn, CA 95602-2453 | 2020-08-24 |
| 1043860299 | Kimberly Danner | Nurse Practitioner | 507 Red Bud Ln, Auburn, IL 62615-9357 | 2019-09-18 |
| 1467001214 | Lauren Elizabeth Sabo | Nurse Practitioner | 906 W North St, Auburn, IL 62615-1046 | 2019-09-04 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1063987162 | Shadiyah S Tawwab | Nurse Practitioner | 1702 Catherine Ct Ste 1a, Auburn, AL 36830-5790 | 2018-10-04 |
| 1801370812 | Catherine Molly Kohl | Nurse Practitioner | 1702 Catherine Ct Ste A, Auburn, AL 36830-5755 | 2018-09-17 |
| 1518443258 | Kelly Elizabeth Cordon | Nurse Practitioner | 77 Nelson St Fl 3, Auburn, NY 13021-1944 | 2018-07-16 |
| 1750873329 | Claire Wakulyaka | Nurse Practitioner | 39 Bryn Mawr Ave, Auburn, MA 01501-1636 | 2018-05-30 |
| 1467963710 | Alissa Marie Dippolito | Nurse Practitioner | 77 Nelson St Ste 310, Auburn, NY 13021-1945 | 2017-10-13 |
| Find all providers in AUBURN | ||||
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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.