ROGER RENFREW (NPI# 1427075464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427075464 |
| Entity Type | Individual |
| Full Name | ROGER RENFREW |
| Credential | M.D. |
| Practice Address |
35 Medical Center Pkwy Augusta ME 04330-8160 |
| Mailing Address |
Po Box 546 Skowhegan ME 04976-0546 |
| Practice Telephone | 2076213699 |
| Practice Fax Number | 2076244268 |
| Mailing Telephone | 2074312269 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD9881 | ME | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
009881 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 268980099 | 05 |
| Street Address |
35 MEDICAL CENTER PKWY |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-8160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121171 | Eric W Barry | Specialist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2005-08-10 |
| 1205433976 | Julie Cummings | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2020-10-06 |
| 1023630266 | Jamie Sue Boutin | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2020-05-11 |
| 1861026296 | Michelle Tocher | Advanced Practice Midwife | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2020-02-25 |
| 1831749167 | Ashley Ellis | Occupational Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-09-18 |
| 1104472083 | Dianna Alexander | Social Worker | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-15 |
| 1952957003 | Susan Noyes | Occupational Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-14 |
| 1154977635 | Andaria Crespi | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-12 |
| 1497309793 | Katie Lynn Bessey | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-07-25 |
| 1295394997 | Kyle Scherer | Occupational Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578518106 | Izabela Sabina Lutostanska | Internal Medicine | Togus Road, Togus Va Hospital, Augusta, ME 04330 | 2006-05-23 |
| 1295845659 | Dean U. Harrell | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 1336163609 | Thomas James Hartney | Internal Medicine | 1 Freedom Way, Vamc 509/26, Augusta, GA 30904-6258 | 2006-07-27 |
| 1053354753 | Timothy John Richardson | Internal Medicine | 1 Va Ctr, Mdp 11, Augusta, ME 04330-6719 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851327936 | Mark Braun | Internal Medicine | 306 Us Route 1 Ste C1, Scarborough, ME 04074-7640 | 2006-06-23 |
| 1720022536 | George N Morrissette | Internal Medicine | 140 Russell St, Lewiston, ME 04240-6026 | 2006-06-15 |
| 1780994194 | Rohit Gautam | Internal Medicine | 4 Main St, Van Buren, ME 04785-1009 | 2010-10-19 |
| 1972815165 | Randa Jaber | Internal Medicine | 46 Fairview Ave, Suite 111, Skowhegan, ME 04976-1481 | 2010-07-05 |
| 1053593962 | Karen E. Saylor | Internal Medicine | 50 Marquis Rd, Freeport, ME 04032-6477 | 2007-12-03 |
| 1073736229 | Roland H. Knausenberger, M.d. Pa | Internal Medicine | 180 Kennedy Memorial Dr, Suite 202, Waterville, ME 04901-4540 | 2007-04-10 |
| 1649363805 | Jabbar Fazeli | Internal Medicine | 1321 Washington Ave, Suite 310, Portland, ME 04103-3636 | 2006-10-02 |
| 1699868158 | Heidi R Wierman | Internal Medicine | 22 Bramhall St., Portland, ME 04102 | 2006-10-02 |
| 1952406308 | Roland H Knausenberger | Internal Medicine | 180 Kennedy Memorial Drive, Ste 202, Waterville, ME 04901 | 2006-09-13 |
| 1326156605 | Jabbar Fazeli Md Maine Geriatrics | Internal Medicine | 1321 Washington Ave, Suite 310, Portland, ME 04103-3636 | 2006-08-28 |
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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.