KATHARINE A CONNOLLY (NPI# 1467610477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467610477 |
| Entity Type | Individual |
| Full Name | KATHARINE A CONNOLLY |
| Credential | MD |
| Practice Address |
244 Western Ave South Portland ME 04106-2430 |
| Practice Telephone | 2077753446 |
| Mailing Telephone | 2077753446 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | MD20877 | ME | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 47216 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649827478 | Katharine Connolly | Registered Nurse | 13207 Wright Rd, Buda, TX 78610-5000 | 2019-08-26 |
| 1932419454 | Katharine Bernadette Connolly | Physician Assistant | 267 Grant Street, Bridgeport, CT 06610 | 2010-10-18 |
| Street Address |
244 WESTERN AVE |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366453730 | Plastic & Hand Surgical Associates | Plastic Surgery | 244 Western Ave, South Portland, ME 04106-2496 | 2006-08-11 |
| 1467817742 | Kristin Joan Marston | Occupational Therapist | 244 Western Ave, South Portland, ME 04106-2430 | 2015-12-30 |
| 1841688942 | Western Avenue Day Surgery Center | Clinic/Center | 244 Western Ave, South Portland, ME 04106-2430 | 2014-12-26 |
| 1104214204 | Plastic & Hand Surgical Associates | Specialist | 244 Western Ave, South Portland, ME 04106-2430 | 2014-12-26 |
| 1740687169 | Suzanne Guinan | Nurse Practitioner | 244 Western Ave, South Portland, ME 04106-2430 | 2014-12-01 |
| 1720354665 | Eric Roberts Stunkel | Occupational Therapist | 244 Western Ave, South Portland, ME 04106-2430 | 2012-03-26 |
| 1962727859 | Justin T Zelones | Surgery | 244 Western Ave, South Portland, ME 04106 | 2010-04-02 |
| 1013181007 | Arthur Turko | Surgery | 244 Western Ave, South Portland, ME 04106-2496 | 2008-04-22 |
| 1891975827 | Sarah P Greven-chaousis | Surgery | 244 Western Ave, South Portland, ME 04106 | 2007-11-07 |
| 1235266677 | John C. Kirkham | Surgery | 244 Western Ave, South Portland, ME 04106-2430 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363703 | Salah Al-hashimi | Surgery | 210 Western Ave, South Portland, ME 04106-2424 | 2005-08-16 |
| 1962727859 | Justin T Zelones | Surgery | 244 Western Ave, South Portland, ME 04106 | 2010-04-02 |
| 1891975827 | Sarah P Greven-chaousis | Surgery | 244 Western Ave, South Portland, ME 04106 | 2007-11-07 |
| 1235266677 | John C. Kirkham | Surgery | 244 Western Ave, South Portland, ME 04106-2430 | 2007-02-27 |
| 1952325540 | Winthrop Sylvester Maclaughlin Jr. | Surgery | 210 Western Ave, South Portland, ME 04106 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700329133 | Thomas Tarnay | Surgery | 108 Nickerson Ln, Rome, ME 04963-3239 | 2016-12-03 |
| 1831572882 | Alexander James Wall IIi | Surgery | 463 Manchester Rd, Belgrade, ME 04917-3812 | 2015-07-08 |
| 1851654933 | Shantanu N Razdan | Surgery | 193 Main St Ste 16, Norway, ME 04268-5647 | 2012-06-22 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1336411057 | Heidar Nemat | Surgery | 44 Hillside Avenue, Auburn, ME 04210-4653 | 2012-01-27 |
| 1386962546 | John Michael Fallon II | Surgery | 818 Congress St Dept Of, Portland, ME 04102-3112 | 2010-05-12 |
| 1689905283 | Ivan L Shapiro | Surgery | 101 Presque Isle Rd., Fort Fairfield, ME 04742-0325 | 2010-01-21 |
| 1275762999 | Brady C Mullin | Surgery | 193 Main Street, Suite 16, Norway, ME 04268 | 2009-07-02 |
| 1104070051 | William Warren Babson Jr. | Surgery | 578 Barn Brook Rd., Sinclair, ME 04779-0079 | 2008-11-05 |
| 1851540108 | Khaldoun Kamal Bekdache | Surgery | 417 State St. Surgery and Trauma Specialists of Maine, Webber West, Suite 340, Bangor, ME 04401 | 2008-09-11 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
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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.