CHARLES LINDBURGH CARR JR. (NPI# 1689750853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689750853 |
| Entity Type | Individual |
| Full Name | CHARLES LINDBURGH CARR JR. |
| Credential | DO |
| Practice Address |
164 Goodwins Mills Rd Lyman ME 04002-7529 |
| Mailing Address |
164 Goodwins Mills Road Lyman ME 04002-7529 |
| Practice Telephone | 2074994144 |
| Practice Fax Number | 2074994214 |
| Mailing Telephone | 2074994144 |
| Mailing Fax Number | 2074994214 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-01-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 1555 | ME | Allopathic & Osteopathic Physicians |
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | OS16262 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM BCBS | 041408 | 01 | |
| ME | 1689750853 | 05 | |
| AETNA | 4329769 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710107131 | Charles Toby Carr | Contractor | 19064 W 61st Pl, Golden, CO 80403-1031 | 2007-04-26 |
| 1164523445 | Charles Thomas Carr | Dentist | 7200 W 45th Ave, Ste 5, Amarillo, TX 79109-5084 | 2006-09-26 |
| 1528096484 | Charles M Carr | Family Medicine | 291 Bayhill Dr, Gallatin, TN 37066-4741 | 2006-06-29 |
| 1003207291 | Charles David Carr | Counselor | 1224 Vine St, Los Angeles, CA 90038 | 2015-02-10 |
| 1598092009 | Charles Deljohn Carr | Pharmacist | 1201 Broad Rock Blvd, 119, Richmond, VA 23249-0001 | 2009-11-05 |
| 1750517074 | Charles L Carr | Counselor | 1790 N Mastick Way, Suite D, Nogales, AZ 85621-1135 | 2009-06-01 |
| 1508896176 | Charles Carr | Orthopaedic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-03 |
| Street Address |
164 GOODWINS MILLS RD |
| City | LYMAN |
| State | ME |
| Zip Code | 04002-7529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700014487 | Wayne Rufus | In Home Supportive Care | 250 Sanford Rd, Alfred, ME 04002 | 2009-07-01 |
| 1477666816 | Town of Alfred | Ambulance | 77 Kennebunk Rd, Alfred, ME 04002 | 2006-08-17 |
| 1003827254 | Lana Clough | Social Worker | 200 Waterboro Rd, Alfred, ME 04002 | 2006-08-11 |
| 1043243579 | Goodwins Mills Rescue | Ambulance | 481 Goodwins Mills Rd, Lyman, ME 04002 | 2006-07-08 |
| 1659983591 | Town of Dayton | Ambulance | 481 Goodwins Mills Rd, Lyman, ME 04002 | 2020-08-21 |
| 1154500973 | York County Shelter Programs Inc | Case Management | 147 Shaker Hill Road, Alfred, ME 04002-0820 | 2007-10-29 |
| 1235371972 | York County Shelter Programs, Inc | Community/Behavioral Health | 147 Shaker Hill Road, Alfred, ME 04002-0820 | 2009-03-26 |
| 1356583009 | York County Shelter Programs, Inc | Community/Behavioral Health | 147 Shaker Hill Road, Alfred, ME 04002-0820 | 2009-03-26 |
| 1144350463 | Carol Adams | Counselor | 243 Shaker Hill Rd., Alfred, ME 04002-0885 | 2007-03-06 |
| 1528097623 | Guy A Defeo | Neuromusculoskeletal Medicine & OMM | 170 Federal St, Alfred, ME 04002-3130 | 2006-07-01 |
| Find all providers in zip 04002 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428848 | David D Keller Do PC | Neuromusculoskeletal Medicine & OMM | 195 Fore River Pkwy Ste 470, Portland, ME 04102-2787 | 2018-12-11 |
| 1659715738 | Maine Osteopathic Medicine, LLC | Neuromusculoskeletal Medicine & OMM | 146 Ocean St, Suite 2, South Portland, ME 04106-3664 | 2013-04-19 |
| 1114161874 | Timothy Christopher Kulikowski | Neuromusculoskeletal Medicine & OMM | 915 Union St Ste 4, Bangor, ME 04401-8603 | 2009-04-26 |
| 1720242357 | Daniel S Gibbons | Neuromusculoskeletal Medicine & OMM | 23 Durham Rd Ste 101, Freeport, ME 04032-6796 | 2008-07-14 |
| 1285896514 | Jennifer Lee Lakis | Neuromusculoskeletal Medicine & OMM | 14 Maine St # 14, Brunswick, ME 04011-2049 | 2008-06-27 |
| 1003006271 | Karen M Benezra | Neuromusculoskeletal Medicine & OMM | 62 Portland Rd Ste 21, Kennebunk, ME 04043-6650 | 2007-07-25 |
| 1508065210 | Joshua Iannetta | Neuromusculoskeletal Medicine & OMM | 632 Us Route 1, Scarborough, ME 04074-9794 | 2007-07-12 |
| 1265579015 | Bonnie Joan Sendzicki | Neuromusculoskeletal Medicine & OMM | 81 Blackguard Road, Waterford, ME 04088 | 2007-01-31 |
| 1760531180 | Christine Blake Smith | Neuromusculoskeletal Medicine & OMM | 114 Stroudwater St, Westbrook, ME 04092-4037 | 2007-01-09 |
| 1003984311 | Charles W Sullivan | Neuromusculoskeletal Medicine & OMM | 98 Second St, Hallowell, ME 04347-1368 | 2006-12-04 |
| 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.