ATLANTIC FOOT & ANKLE CENTER (NPI# 1659356517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659356517 |
| Entity Type | Organization |
| Organization Name | ATLANTIC FOOT & ANKLE CENTER |
| Practice Address |
1711 Congress St Portland ME 04102-1962 |
| Practice Telephone | 2077735800 |
| Mailing Telephone | 2077735800 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2007-12-14 |
| Authorized Official Name | JOHN PERRY (PRESIDENT) |
| Authorized Official Telephone | 2077735800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
1711 CONGRESS ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285624874 | John B Perry | Podiatrist | 1711 Congress St, Portland, ME 04102-1962 | 2005-10-25 |
| 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 Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386051803 | Southwest Podiatry Center LLC | Podiatrist | 9370 Sw Greenburg Rd Ste 102, Portland, OR 97223-5428 | 2014-07-16 |
| 1386884237 | Lopa Dalmia | Podiatrist | 12400 Nw Cornell Rd Ste 201, Portland, OR 97229-5689 | 2009-03-04 |
| 1679743876 | Brandi S. Myers Dpm, LLC | Podiatrist | 7836 Se 13th Ave, Portland, OR 97202-6350 | 2008-03-04 |
| 1093921975 | Brian M. Bowen | Podiatrist | 1717 Ne 42nd Ave, Suite 3300, Portland, OR 97213-1569 | 2007-05-15 |
| 1689700486 | Brandi Sue Myers | Podiatrist | 5225 Se 28th Ave, Portland, OR 97202-4506 | 2007-02-26 |
| 1255440020 | Gina M Bullock | Podiatrist | 3508 Ne Broadway St, Portland, OR 97232-1821 | 2006-08-29 |
| 1982647467 | Thomas R Palmer | Podiatrist | 6108 Ne Glisan St, Portland, OR 97213-3864 | 2006-06-13 |
| 1962454934 | Clifford Donald Mah | Podiatrist | 12400 Nw Cornell Rd, Suite 201, Portland, OR 97229-5693 | 2006-05-17 |
| 1538149471 | Christopher Gerard Pingitore | Podiatrist | 51 Sewall St Ste 2, Portland, ME 04102-2644 | 2006-01-18 |
| 1194705038 | John Henry Dorsey Jr. | Podiatrist | 195 Fore River Parkway, Suite 120, Portland, ME 04102 | 2006-01-18 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on ATLANTIC FOOT & ANKLE CENTER.
| 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.