MAINE VEIN CENTER ASSOCIATES, LLC (NPI# 1477830198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477830198 |
| Entity Type | Organization |
| Organization Name | MAINE VEIN CENTER ASSOCIATES, LLC |
| Practice Address |
21 Northbrook Dr # B Falmouth ME 04105-1379 |
| Practice Telephone | 2077745479 |
| Mailing Telephone | 2077745479 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2012-04-06 |
| Authorized Official Name | DR. DESMOND DONEGAN (PRESIDENT) |
| Authorized Official Telephone | 2077745479 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
011098 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
21 NORTHBROOK DR # B |
| City | FALMOUTH |
| State | ME |
| Zip Code | 04105-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841672094 | Maine Thoracic Surgery, LLC | Clinic/Center | 21 Northbrook Dr # B, Falmouth, ME 04105-1379 | 2015-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790134906 | Marsea Spiegel | Massage Therapist | 4 Fundy Rd, Aon Wellness Center, Suite 105, Falmouth, ME 04105 | 2016-06-08 |
| 1033368691 | Lori Ann Coffin | Speech-Language Pathologist | 193 Foreside Road, Falmouth, ME 04105 | 2008-09-18 |
| 1699959478 | Daniel Evert Feldman | Specialist | 50 Depot Rd., Falmouth, ME 04105 | 2007-12-28 |
| 1417130089 | Annette Bonnie Mueller | Nurse Practitioner | 202 Us Route 1, Suite 200, True North Health Center, Falmouth, ME 04105 | 2007-12-06 |
| 1225241912 | Falmouth School Department | Local Education Agency (LEA) | 51 Woodville Road, Falmouth, ME 04105 | 2007-05-08 |
| 1891810255 | Donna Lynne Keenan | Physical Therapist | U.S. Route One, Falmouth, ME 04105 | 2007-03-21 |
| 1306973938 | Andrea M Hall | Physical Therapist | 367 Us Rt One, Falmouth, ME 04105 | 2007-02-28 |
| 1427191907 | Falmouth Vision Center | Technician/Technologist | 204 Us Route One, Falmouth, ME 04105 | 2007-02-15 |
| 1588719314 | Catherine Marion Bernard | Physical Therapist | 50 Depot Rd, Falmouth, ME 04105 | 2007-01-24 |
| 1164597928 | Casco Bay Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 256 Us Route One, Suite 5, Falmouth, ME 04105 | 2006-11-21 |
| Find all providers in zip 04105 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1386691178 | James B Knox | Surgery | 90 Ter Heun Drive, Suite 300, Falmouth, MA 02540 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346618741 | Carl E Bredenberg Jr. | Surgery | 8 Fox Hill Rd, Cape Elizabeth, ME 04107-2007 | 2015-09-02 |
| 1205086196 | Edward Michael Friedman | Surgery | 134 Deep Cv, Raymond, ME 04071-6523 | 2008-09-26 |
| 1811382773 | Vincent Noori | Surgery | 22 Bramhall St, Portland, ME 04102-3134 | 2015-03-30 |
| 1386056752 | Michael N Neilson | Surgery | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2014-05-20 |
| 1053750349 | Peter Beaulieu | Surgery | 489 State St, Bangor, ME 04401-6616 | 2013-06-19 |
| 1770921462 | Kimberly Taylor Malka | Surgery | 22 Bramhall St, Portland, ME 04102 | 2013-06-05 |
| 1134565492 | Anna Marie Boniakowski | Surgery | 887 Congress St Ste 400, Portland, ME 04102-3163 | 2013-05-14 |
| 1548593270 | Edward Alexander Mcgillicuddy | Surgery | 60 High St, Lewiston, ME 04240-7616 | 2009-09-14 |
| 1649430315 | Christopher Hilles Byrne | Surgery | 489 State St, Vascular Care of Maine, Bangor, ME 04401-6616 | 2008-06-16 |
| 1023281078 | Webber Hospital Association | Surgery | 3 Medical Center Dr, Biddeford, ME 04005-9422 | 2008-04-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAINE VEIN CENTER ASSOCIATES, LLC.
| 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.