MR. PAUL R SURETTE (NPI# 1588691562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588691562 |
| Entity Type | Individual |
| Full Name | MR. PAUL R SURETTE |
| Credential | L,A.T.C. |
| Practice Address |
6 Glen Cove Drive Rockport ME 04856 |
| Mailing Address |
252 Bemis Rd Carmel ME 04419-3034 |
| Practice Telephone | 2075935547 |
| Mailing Telephone | 2076591297 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT249 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306098124 | Paul A Surette | Physician Assistant | 150 Dennis St Sw, Tumwater, WA 98501-5459 | 2008-10-13 |
| Street Address |
6 GLEN COVE DRIVE |
| City | ROCKPORT |
| State | ME |
| Zip Code | 04856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684407 | Barbara Oberg-higgins | Internal Medicine | 6 Glen Cove Drive, Rockport, Rockport, ME 04856-7533 | 2005-07-22 |
| 1841735297 | Penobscot Bay Medical Center | Psychiatric Unit | 6 Glen Cove Drive, Rockport, ME 04856 | 2016-12-21 |
| 1023228327 | Harold Amsel | Psychiatry & Neurology | 6 Glen Cove Drive, Rockport, ME 04856-4240 | 2007-05-23 |
| 1457577447 | Kevin Joseph Martin | Physical Therapist | 6 Glen Cove Drive, Rockport, ME 04856 | 2007-04-18 |
| 1093756777 | Michael K Gowesky | Anesthesiology | 6 Glen Cove Drive, Rockport, ME 04856-4240 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171585 | Lisa Manley | Physical Therapist | 6 Glen Cove Drive, Pbmc, Rockport, Me, ME 04856 | 2018-07-25 |
| 1871096834 | Brenda K Berry | Registered Nurse | 731 Commercial Street, Rockport, ME 04856 | 2018-03-15 |
| 1174908495 | Atlantic Behavior Services, Inc | Behavioral Analyst | 112 Union Street, Rockport, ME 04856 | 2015-07-28 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1790024438 | Michelle Gallant | Dental Hygienist | 37 Chickawaukie Pond Rd, Rockport, ME 04856 | 2013-01-31 |
| 1316221666 | Nancy K Alexander | Advanced Practice Midwife | 3 Glen Cove Dr Ste 1, Rockport, ME 04856 | 2011-10-05 |
| 1619283793 | Karen Canfield | Social Worker | 41 Forsest St, Rockport, ME 04856 | 2010-08-26 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1598999369 | Patricia L. Kristiansen | Occupational Therapy Assistant | 6 Madelyn Lane, Rockport, ME 04856 | 2009-05-08 |
| 1801020797 | Tiffany Ann Darge | Dental Hygienist | 1060 Commercial St., Rockport, ME 04856 | 2009-05-07 |
| Find all providers in zip 04856 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578936589 | David Roos | Specialist/Technologist | 2315 W Eureka Rd, Rockport, IN 47635-8508 | 2015-11-12 |
| 1407894116 | Gail Elizabeth Schmalz | Specialist/Technologist | 4 Glen Cove Dr, Suite 206, Rockport, ME 04856-4235 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958581 | Teresa Drag | Specialist/Technologist | 512 Paris Hill Rd, Paris, ME 04271 | 2020-10-01 |
| 1639784531 | Debra Lynn Gunn | Specialist/Technologist | 50 Church Rd, Holden, ME 04429-7152 | 2020-09-09 |
| 1639782550 | Madeleine Vivian Reid | Specialist/Technologist | 204 Maine Ave, Portland, ME 04103-3906 | 2020-08-29 |
| 1598377962 | Barbara Anne Cookson | Specialist/Technologist | 167 Wilson St, Brewer, ME 04412-2025 | 2020-08-18 |
| 1811533730 | Brianna Leslie Genthner | Specialist/Technologist | 389 Egypt Rd, Damariscotta, ME 04543-4306 | 2019-11-26 |
| 1376185785 | Mount Desert Island Ymca | Specialist/Technologist | 21 Park Street, Bar Harbor, ME 04609 | 2019-10-17 |
| 1043852981 | Diane Patricia Stone | Specialist/Technologist | 62 Turner St, Auburn, ME 04210-5953 | 2019-10-11 |
| 1326697145 | Karen Elizabeth Rendall | Specialist/Technologist | 120 Leach Hill Rd, Casco, ME 04015-3237 | 2019-09-04 |
| 1659929537 | Bronte Annette Fontaine | Specialist/Technologist | 7 Bickford Ave, Brunswick, ME 04011-3125 | 2019-09-03 |
| 1144889403 | Evan Mark Paradis | Specialist/Technologist | 100 Middle St Apt 1, Old Town, ME 04468-1480 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
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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.