DR. TIMBER H GORMAN (NPI# 1619933215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619933215 |
| Entity Type | Individual |
| Full Name | DR. TIMBER H GORMAN |
| Credential | MD |
| Practice Address |
371 Bar Harbor Rd Trenton ME 04605-5816 |
| Practice Telephone | 2076679690 |
| Practice Fax Number | 2076676064 |
| Mailing Telephone | 2076679690 |
| Mailing Fax Number | 2076676064 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2016-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 014431 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 042000 | 01 |
| ME | 134400000 | 05 | |
| AETNA | 2383971 | 01 |
| Street Address |
371 BAR HARBOR RD |
| City | TRENTON |
| State | ME |
| Zip Code | 04605-5816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487148243 | Cole Mckee Richardson | Ophthalmology | 5450 Fort St, Trenton, MI 48183-4601 | 2018-06-15 |
| 1477901510 | Adam Turner | Ophthalmology | 5450 Fort St, Trenton, MI 48183-4601 | 2016-05-31 |
| 1265897003 | Jennifer Aye | Ophthalmology | 5450 Fort St, Trenton, MI 48183-4601 | 2015-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417214370 | Kaitlyn W. Nolan | Ophthalmology | 71 Main St., Newcastle, ME 04553-3426 | 2012-04-17 |
| 1437440435 | Jessica S Watson | Ophthalmology | 15 Lowell Street, Portland, ME 04102-2726 | 2011-04-25 |
| 1437314127 | Tracey Durkovich Clark | Ophthalmology | 1 Ridgewood Drive, Bangor, ME 04401 | 2008-07-23 |
| 1013191584 | Jeremy Reid Valentine | Ophthalmology | 899 Central St, Millinocket, ME 04462-2125 | 2007-12-20 |
| 1225235633 | Catherine Meyerle | Ophthalmology | 35 Eastward Ln Ste A, Ellsworth, ME 04605-1744 | 2007-06-29 |
| 1578765640 | Kittery Ophthalmic Consultants | Ophthalmology | 57 State Rd, Kittery, ME 03904-1535 | 2007-06-01 |
| 1740409424 | Sirus Hamzavi, Md LLC Pa | Ophthalmology | 10 High St Ste 304, Lewiston, ME 04240-7640 | 2007-04-24 |
| 1104940568 | Mark Edward Marotto | Ophthalmology | 130 Center Street, Bath, ME 04530 | 2007-03-19 |
| 1205994415 | Margaret L Blom | Ophthalmology | 270 High St, Suite 106, Ellsworth, ME 04605-1729 | 2006-12-04 |
| 1003981200 | Deborah S Hoffert | Ophthalmology | 700 Mount Hope Ave Ste 470, Evergreen Woods, Bangor, ME 04401-5660 | 2006-11-22 |
| 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.