ALEXANDRIA MICKENZIE BETZ


Address: 887 Congress St Ste 200, Portland, ME 04102-3166
Phone: 2077715549

ALEXANDRIA MICKENZIE BETZ (NPI# 1538458377) 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) 1538458377
Entity Type Individual
Full Name ALEXANDRIA MICKENZIE BETZ
Practice Address 887 Congress St Ste 200
Portland
ME 04102-3166
Mailing Address 100 N Academy Ave Dept Of
Danville
PA 17822-9800
Practice Telephone 2077715549
Mailing Telephone 4437223488
Enumeration Date 2011-04-01
Last Update Date 2020-06-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
DO2906 ME Allopathic & Osteopathic Physicians
N 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
DO-04699 IA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
330 Sabattus St, Lewiston, ME 042405553 2077774300 2077553021

Office Location

Street Address 887 CONGRESS ST STE 200
City PORTLAND
State ME
Zip Code 04102-3166

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043389745 Toby M Fitzgerald Obstetrics & Gynecology 887 Congress St Ste 200, Portland, ME 04102-3166 2006-11-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
Find all providers in zip 04102

Taxonomy Information

Taxonomy Code 207VM0101X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Maternal & Fetal Medicine

Taxonomy Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215174651 Manijeh Kamyar Obstetrics & Gynecology 5050 Ne Hoyt St Ste 230, Portland, OR 97213-2981 2009-01-07
1215182035 Jamie O Lo Obstetrics & Gynecology 3181 Sw Sam Jackson Park Rd # L466, Department of Obstetrics and Gynecology - Office Sjh 23, Portland, OR 97239-3011 2008-11-20
1679695050 Barbra M Fisher Obstetrics & Gynecology 9701 Sw Barnes Rd Ste 299, Portland, OR 97225-6689 2007-04-04
1033291323 Sig-linda Jacobson Obstetrics & Gynecology 5006 Sw Martha St, Portland, OR 97221-1835 2006-10-19
1457581688 Karen Gibbins Obstetrics & Gynecology 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 2009-07-22
1164664389 Jennifer Salati Obstetrics & Gynecology 3181 Sw Sam Jackson Park Rd, Ohsu, Mail Code L458, Portland, OR 97239-3011 2009-04-02
1952562753 Ashlie Ann Roselle Tronnes Obstetrics & Gynecology 9701 Sw Barnes Rd, Suite 299, Portland, OR 97225-6772 2008-06-24
1407023989 Michael Patrick Smrtka Obstetrics & Gynecology 5050 Ne Hoyt St, Suite 230, Portland, OR 97213-2991 2008-05-13
1609062728 Nicole Marshall Obstetrics & Gynecology 3181 Sw Sam Jackson Park Rd, L458, Portland, OR 97239-3011 2007-09-21
1609069525 Patricia Anne Robertson Obstetrics & Gynecology 300 N Graham St, Suite 100, Portland, OR 97227-1683 2007-08-23
Find all providers in PORTLAND

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City PORTLAND
Zip Code 04102

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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