ANDREA L. PELLETIER (NPI# 1609196344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609196344 |
| Entity Type | Individual |
| Full Name | ANDREA L. PELLETIER |
| Credential | MD |
| Practice Address |
84 Marginal Way Suite 900 Portland ME 04101 |
| Mailing Address |
100 Gannett Drive Suite C South Portland ME 04106 |
| Practice Telephone | 2078742445 |
| Practice Fax Number | 2075238598 |
| Mailing Telephone | 2078280361 |
| Mailing Fax Number | 2078741483 |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD20232 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
84 MARGINAL WAY SUITE 900 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225009830 | Suzanne O Dater | Internal Medicine | 84 Marginal Way, Suite 800, Portland, ME 04101 | 2006-01-31 |
| 1255817490 | Kayla R. Sirard | Physician Assistant | 84 Marginal Way, Portland, ME 04101 | 2018-07-11 |
| 1104370980 | Meagan Schmersal | Nurse Practitioner | 84 Marginal Way, Suite 700, Portland, ME 04101 | 2016-08-09 |
| 1265895502 | Sean R Lena | Internal Medicine | 84 Marginal Way, Portland, ME 04101 | 2016-04-04 |
| 1720441595 | Kasey R. Little | Internal Medicine | 84 Marginal Way, Portland, ME 04101-2443 | 2016-03-30 |
| 1588040158 | Jennifer L Steffen | Nurse Practitioner | 84 Marginal Way, Suite 900, Portland, ME 04101-2443 | 2015-08-06 |
| 1487037966 | Lauren Shumeyko | Nurse Practitioner | 84 Marginal Way, Portland, ME 04101-2443 | 2015-07-02 |
| 1386026771 | Joan Kallin Newton | Nurse Practitioner | 84 Marginal Way, Suite 700, Portland, ME 04101-2443 | 2015-06-23 |
| 1336538198 | Intermed, Pa | Obstetrics & Gynecology | 84 Marginal Way, Portland, ME 04101-2443 | 2015-01-16 |
| 1285046144 | Julie B. Dark | Pediatrics | 84 Marginal Way, Portland, ME 04101-2443 | 2014-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215396676 | Hanalore Griffiths | Obstetrics & Gynecology | 11750 Sw Barnes Rd Ste 300, Portland, OR 97225-5911 | 2016-02-14 |
| 1487057790 | William Russell Greene | Obstetrics & Gynecology | 2239 Ne 19th Ave, Portland, OR 97212-4616 | 2014-09-30 |
| 1538587654 | Gene De Haan | Obstetrics & Gynecology | 3350 N Interstate Ave, Obstretrics and Gynecology, Portland, OR 97227-3011 | 2014-04-04 |
| 1043650682 | Tuesday Elizabeth Pearson | Obstetrics & Gynecology | 2332 Nw Irving St., Portland, OR 97210 | 2013-06-27 |
| 1760820385 | John Ogorek | Obstetrics & Gynecology | 100 Brickhill Ave Ste 23, Portland, ME 04106-1999 | 2013-06-05 |
| 1841557170 | Eleonore Pettit Werner | Obstetrics & Gynecology | 84 Marginal Way Ste 900, Portland, ME 04101-2476 | 2012-04-11 |
| 1508152026 | Kelli Andersen | Obstetrics & Gynecology | 10000 Se Main St Ste 10, Portland, OR 97216-2441 | 2011-06-22 |
| 1831494087 | Katie Alton | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd # Uhn50, Portland, OR 97239-3011 | 2011-01-20 |
| 1386955037 | Chidimma Uche Abanulo | Obstetrics & Gynecology | 9701 Sw Banes Rd, Suite 150, Portland, OR 97225 | 2010-06-28 |
| 1982920393 | Leo Liu Han | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Road, Mailcode: L466, Oregon Health and Science University, Portland, OR 80045 | 2010-04-09 |
| Find all providers in PORTLAND | ||||
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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.