SEACOAST ULTRASOUND IMAGING, INC (NPI# 1639155674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639155674 |
| Entity Type | Organization |
| Organization Name | SEACOAST ULTRASOUND IMAGING, INC |
| Practice Address |
756 Commercial St Rockport ME 04856-4201 |
| Mailing Address |
Po Box 1849 Lewiston ME 04241-1849 |
| Practice Telephone | 2075935400 |
| Mailing Telephone | 2077842554 |
| Mailing Fax Number | 2077775363 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2009-03-31 |
| Authorized Official Name | CHARLES DUNNER (PRESIDENT) |
| Authorized Official Telephone | 2077842554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
6270 | ME | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 136270000 | 05 |
| Street Address |
756 COMMERCIAL ST |
| City | ROCKPORT |
| State | ME |
| Zip Code | 04856-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376529305 | Charles Dunner | Radiologic Technologist | 756 Commercial St, Rockport, ME 04856-4201 | 2005-12-21 |
| 1043470842 | Charlotte M Campbell | Nurse Practitioner | 756 Commercial St, Rockport, ME 04856-4201 | 2008-06-15 |
| 1164643128 | Lise A Desjardins | Nurse Practitioner | 756 Commercial St, Rockport, ME 04856-4201 | 2007-05-01 |
| 1730303702 | Penobcot Bay Medical Center | Clinic/Center | 756 Commercial St, Rockport, ME 04856-4201 | 2007-04-12 |
| 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 | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881713170 | Gulf Coast Mobile Imaging | Radiologic Technologist | 306 Griffith Dr, Rockport, TX 78382-7120 | 2007-03-28 |
| 1376529305 | Charles Dunner | Radiologic Technologist | 756 Commercial St, Rockport, ME 04856-4201 | 2005-12-21 |
Please comment or provide details below to improve the information on SEACOAST ULTRASOUND IMAGING, INC.
| 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.