HEAD AND NECK SURGICAL ASSOCIATES (NPI# 1508052150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508052150 |
| Entity Type | Organization |
| Organization Name | HEAD AND NECK SURGICAL ASSOCIATES |
| Practice Address |
55 Main St Bridgton ME 04009-1117 |
| Mailing Address |
1250 Forest Ave Suite 301 Portland ME 04103-1889 |
| Practice Telephone | 2076472144 |
| Practice Fax Number | 2076472126 |
| Mailing Telephone | 2077975753 |
| Mailing Fax Number | 2078781715 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | MRS. ELAINE H BUTLAND (OFFICE MANAGER) |
| Authorized Official Telephone | 2077975753 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEAD AND NECK SURGICAL ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184810400 | Head and Neck Surgical Associates | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1889 | 2007-09-20 |
| 1548456866 | Head and Neck Surgical Associates | Otolaryngology | 244 Kennedy Memorial Dr, Suite G, Waterville, ME 04901-4538 | 2007-09-20 |
| 1508052143 | Head and Neck Surgical Associates | Otolaryngology | 6 Wellspring Rd, Biddeford, ME 04005-9415 | 2007-09-18 |
| 1265628804 | Head and Neck Surgical Associates | Otolaryngology | 193 Main St, Norway, ME 04268-5645 | 2007-09-18 |
| Street Address |
55 MAIN ST |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689149593 | Francoise Catherine Villedrouin | Acupuncturist | 55 Main St, Bridgton, ME 04009-1117 | 2018-10-06 |
| 1548444847 | Robert Scott Phipps | Massage Therapist | 55 Main St, Bridgton, ME 04009-1117 | 2007-12-21 |
| 1558361386 | Christopher A Roy | Physical Therapist | 55 Main St, Bridgton, ME 04009-1117 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1316435407 | Caitlin D Ambo | Counselor | 32 No High Street, Bridgton, ME 04009 | 2018-04-25 |
| 1205215290 | Brianna J Meister | Counselor | 37 No High Street, Bridgton, ME 04009 | 2015-05-22 |
| 1013120898 | Maine Administrative School District No 61 | Local Education Agency (LEA) | 900 Bridgton Road, Bridgton, ME 04009 | 2007-05-08 |
| 1114051984 | R. Andrew Derstine | Counselor | 236a Portland Rd, Bridgton, ME 04009 | 2007-03-15 |
| 1184784878 | Good Neighbors, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Sandy Creek Rd, Bridgton, ME 04009 | 2006-12-11 |
| 1578593570 | Lake Region Physical Therapy Pa | Physical Therapist | 593 Harrison Rd, Bridgton, ME 04009 | 2006-07-04 |
| 1164783452 | Kevin Jenkins | Internal Medicine | 10 Hospital Dr, Bridgton, ME 04009 | 2012-06-03 |
| 1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
| 1164611703 | Liane Muller, D.o., Pa | Clinic/Center | 63 Main St, Suite A, Bridgton, ME 04009 | 2007-10-19 |
| Find all providers in zip 04009 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648323 | William Maxwell | Otolaryngology | 43 Baxter Blvd, Portland, ME 04101-1823 | 2005-12-05 |
| 1093944258 | Christina Marie Mimikos | Otolaryngology | 1250 Forest Ave Ste 301, Portland, ME 04103 | 2009-07-09 |
| 1184810400 | Head and Neck Surgical Associates | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1889 | 2007-09-20 |
| 1548456866 | Head and Neck Surgical Associates | Otolaryngology | 244 Kennedy Memorial Dr, Suite G, Waterville, ME 04901-4538 | 2007-09-20 |
| 1508052143 | Head and Neck Surgical Associates | Otolaryngology | 6 Wellspring Rd, Biddeford, ME 04005-9415 | 2007-09-18 |
| 1265628804 | Head and Neck Surgical Associates | Otolaryngology | 193 Main St, Norway, ME 04268-5645 | 2007-09-18 |
| 1184684599 | Head and Neck Surgical Associates, Pa | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1884 | 2006-03-28 |
| 1003806118 | Joseph Neil Wilson | Otolaryngology | 140 Academy St, Presque Isle, ME 04769 | 2005-10-28 |
| 1174511158 | Christopher B Murry | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1884 | 2005-10-12 |
Please comment or provide details below to improve the information on HEAD AND NECK SURGICAL ASSOCIATES.
| 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.