ALEXANDRE GENNADIEVICH ANDRIANOV (NPI# 1467441774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467441774 |
| Entity Type | Individual |
| Full Name | ALEXANDRE GENNADIEVICH ANDRIANOV |
| Credential | MD |
| Practice Address |
194 E Main St Fort Kent ME 04743-1428 |
| Mailing Address |
400 W Main St Ste 350 Babylon NY 11702-3025 |
| Practice Telephone | 2078343155 |
| Mailing Telephone | 5162971753 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2017-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 016796 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 061454 | 01 |
| Street Address |
194 E MAIN ST |
| City | FORT KENT |
| State | ME |
| Zip Code | 04743-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041113 | Jordan Albert | Pharmacist | 194 E Main St, Fort Kent, ME 04743-1428 | 2020-10-22 |
| 1093330441 | Stephanie Lynne Michaud | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2020-06-11 |
| 1306485511 | Jodi Pearl Cote | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2020-01-06 |
| 1003459231 | Alicia Lyn Soucy | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-10-21 |
| 1558904771 | Crystal Lynn Hughes | Social Worker | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-10-21 |
| 1851942429 | Northern Maine Medical Center | Pharmacy | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-09-25 |
| 1316507437 | Andrna Erica Christopher | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-06-20 |
| 1760946107 | Kelly Ann Lozier | Occupational Therapist | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-01-30 |
| 1578027405 | Leslie-ann Labonte | Occupational Therapist | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-01-24 |
| 1821552902 | Robyn Amy Violette | Physical Therapist | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483874 | Megan K Pelletier | Pharmacist | Address: 182 Market St Suite 2, Fort Kent, ME 04743 | 2020-09-30 |
| 1629344171 | Sherry Marie Stedt | Massage Therapist | 590 Caribou Rd, Fort Kent, ME 04743 | 2012-03-29 |
| 1215140181 | School Administrative District 27 | Student in an Organized Health Care Education/Training Program | 84 Pleasant Street, Suite 1, Fort Kent, ME 04743 | 2007-05-08 |
| 1578785846 | M.s.a.d.#27 | Student in an Organized Health Care Education/Training Program | 108 Pleasant Street, Fort Kent, ME 04743 | 2007-05-03 |
| 1598880122 | Kristy Jo Nadeau | Social Worker | 210 Market St., Fort Kent, ME 04743 | 2007-03-20 |
| 1619066297 | Paul W Tisher | Psychiatry & Neurology | 104 East Main Street, Fort Kent, ME 04743 | 2006-10-12 |
| 1326150467 | Paul Huges Mcbreairty | Obstetrics & Gynecology | 468 St John Rd, Fort Kent, ME 04743 | 2006-08-31 |
| 1356459739 | Louis J Paradis Inc | Pharmacy | 62 West Main Street, Suite 101, Fort Kent, ME 04743 | 2006-08-27 |
| 1023024585 | Richard Raymond | Dentist | 139 Market Street, Suite 107, Fort Kent, ME 04743 | 2006-08-01 |
| 1003898677 | Lisa M. Eno | Nurse Practitioner | 197 East Main Street, Suite 101, Fort Kent, ME 04743 | 2005-11-18 |
| Find all providers in zip 04743 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1366739930 | Liia Edouardovna Doumanovskaia | Internal Medicine | 194 E Main St, Fort Kent, ME 04743-1428 | 2011-07-05 |
| 1750443842 | Northern Maine Medical Center | Internal Medicine | 197 E Main St, Fort Kent, ME 04743-1409 | 2006-12-14 |
| 1316936644 | James Vincent Harris | Internal Medicine | 194 E Main St, Fort Kent, ME 04743-9977 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255982856 | Bene Esse, Inc. | Internal Medicine | 28 W Cole Rd Ste 105, Biddeford, ME 04005-9428 | 2019-09-25 |
| 1316426893 | Stephanie Lynne Bosse | Internal Medicine | 33 Whiting Hill Rd Ste 300, Brewer, ME 04412-1021 | 2018-08-07 |
| 1942798707 | Ibis Health Services-maine LLC | Internal Medicine | 140 Main St Ste 3, Freeport, ME 04032-1348 | 2018-04-27 |
| 1629598941 | Sunam M Sujanani | Internal Medicine | 489 State Street Kelley 6, Bangor, ME 04401 | 2017-06-27 |
| 1265889265 | Jared Tobolski | Internal Medicine | 22 Bramhall St Dept Of, Portland, ME 04102-3175 | 2016-05-19 |
| 1154775070 | Katherine M Rizzolo | Internal Medicine | 245 Broadway Apt 206, South Portland, ME 04106-2942 | 2016-04-18 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1851761936 | Arthur Smith | Internal Medicine | 63 Parker Ridge Ln, Apt. 314, Blue Hill, ME 04614-6129 | 2015-10-01 |
| 1134516701 | Anne Longtine | Internal Medicine | 65 Waterville St, Portland, ME 04101 | 2015-04-22 |
| 1982033569 | Maine Laser Skin Care, P.a. | Internal Medicine | 12 Shuman Ave Ste 7, Augusta, ME 04330-6020 | 2013-11-05 |
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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.