ROBERT CLEAVELAND


Address: 50 Summer St, Millinocket, ME 04462-1400
Phone: 2077236551

ROBERT CLEAVELAND (NPI# 1518350610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518350610
Entity Type Individual
Full Name ROBERT CLEAVELAND
Credential PHYSICIAN ASSISTANT
Practice Address 50 Summer St
Millinocket
ME 04462-1400
Mailing Address Po Box 500
Patten
ME 04765-0500
Practice Telephone 2077236551
Practice Fax Number 2075282595
Mailing Telephone 2075282285
Mailing Fax Number 2075282595
Enumeration Date 2015-03-13
Last Update Date 2015-04-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA1510 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 50 SUMMER ST
City MILLINOCKET
State ME
Zip Code 04462-1400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396701470 Lisa S Milne Nurse Practitioner 50 Summer St, Millinocket, ME 04462-1400 2006-04-26
1265042212 Josh H Jones Registered Nurse 50 Summer St, Millinocket, ME 04462-1400 2020-08-05
1982213443 Alicia M Farrell Registered Nurse 50 Summer St, Millinocket, ME 04462-1400 2020-07-30
1780201806 Kaylee D Doody Registered Nurse 50 Summer St, Millinocket, ME 04462-1400 2020-07-06
1457971384 Brendan D Hurley Chiropractor 50 Summer St, Millinocket, ME 04462-1400 2020-04-21
1851937882 Rae Jean Myla Robinson Nurse's Aide 50 Summer St, Millinocket, ME 04462-1400 2019-11-25
1023665239 Lily A Young Dental Hygienist 50 Summer St, Millinocket, ME 04462-1400 2019-08-22
1881249779 Laura Mae Bouchard Registered Nurse 50 Summer St, Millinocket, ME 04462-1400 2019-08-07
1417426883 Brianna I Rainey Community Health Worker 50 Summer St, Millinocket, ME 04462-1400 2018-11-15
1477046571 Christopher J Castonguay Dentist 50 Summer St, Millinocket, ME 04462-1400 2018-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992320279 Carrie Lynne Farber Massage Therapist 304 Bates Street, Millinoket, ME 04462 2020-06-11
1053550350 David P Johnson Physician Assistant 165 Poplar Street, Suite #1, Millinocket, ME 04462 2009-02-10
1760640189 Health Access Network, Inc. Clinic/Center 24 Balsam Dr, Millinocket, ME 04462 2008-06-02
1972725372 East Millinocket School Department Local Education Agency (LEA) 45 North Street, East Millinocket, ME 04462 2007-05-03
1285755843 Town of Millinocket Ambulance 197 Penobscot Ave, Millinocket, ME 04462 2007-04-02
1093815367 David J Shippee Optometrist 178 Central St, Millinocket, ME 04462 2006-09-25
1356627772 Andrea Byther Dietitian, Registered 200 Somerset Street, Millinocket Regional Hospital, Millinocket, ME 04462 2011-10-31
1396780326 Ann R Grunthaler Licensed Practical Nurse 180 Aroostook Ave, Millinocket, ME 04462 2006-06-16
1205838174 John J Gluscic Orthopaedic Surgery 165 Poplar St, Suite 1, Millinocket, ME 04462-1235 2005-08-11
1285827840 Nilesh K Patil Orthopaedic Surgery 165 Poplar St, Suite 1, Millinocket, ME 04462-1235 2007-08-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1073081428 Ishah Marie Price Physician Assistant 30 Preble St Apt 663, Portland, ME 04101-4939 2018-11-04
1073056412 Sara Burdick Physician Assistant 9 Healthcare Dr Ste 202, Biddeford, ME 04005-9450 2016-12-01
1487068565 Andrew Cutter Physician Assistant 31 Annies Way, Gorham, ME 04038-2391 2014-06-17
1629337902 Shannon N Moreau Physician Assistant 343 Us Route 1, York, ME 03909-1636 2012-05-08
1366769085 David Arthur Hamel Physician Assistant 85 Brixham Rd, York, ME 03909-5342 2010-04-21
1164751152 Elaine M Cadorette Physician Assistant 100 Foden Rd., West Building Suite 103, South Portland, ME 04106-2351 2009-12-22
1316130198 Ronald W Kessler Physician Assistant 632 Brighton Ave, Portland, ME 04102-1017 2007-08-24
1932300142 Ian Fm Buchan Physician Assistant Central Maine Partners In Health, 30 Belgrade Avenue, Auburn, ME 04210 2007-05-29
1316159072 Bruce Brokaw Physician Assistant 400 Captain Thomas Road, Wells, ME 04090-7552 2007-05-04
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Competitor

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City MILLINOCKET
Zip Code 04462

Improve Information

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Dataset Information

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.

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