KAEL VAUN MIKESELL (NPI# 1710112453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710112453 |
| Entity Type | Individual |
| Full Name | KAEL VAUN MIKESELL |
| Credential | D.O. |
| Practice Address |
33 Whiting Hill Rd Suite 34 Brewer ME 04412-1021 |
| Mailing Address |
43 Whiting Hill Rd Suite 300 Brewer ME 04412-1005 |
| Practice Telephone | 2079739887 |
| Practice Fax Number | 2079739777 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2016-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
DO2584 | ME | Allopathic & Osteopathic Physicians |
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
OT013153 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
33 WHITING HILL RD SUITE 34 |
| City | BREWER |
| State | ME |
| Zip Code | 04412-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477538304 | Kurt Matthew Snyder | Radiology | 33 Whiting Hill Rd, Suite 1, Brewer, ME 04412-1021 | 2005-12-14 |
| 1649892571 | Alessandra Grace Guerin | Registered Nurse | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2020-05-14 |
| 1336703735 | Kaiden P Trask | Physician Assistant | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2019-05-01 |
| 1477047728 | Beatrice Ann Russell | Family Medicine | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2018-06-20 |
| 1235536319 | Northeast Radiation Oncology Pa | Radiology | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2014-12-04 |
| 1457760340 | Sriman Swarup | Internal Medicine | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2014-08-05 |
| 1629483409 | Hilal Hachem | Internal Medicine | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2014-06-30 |
| 1508206822 | Ellen A Arey | Nurse Practitioner | 33 Whiting Hill Rd, Suite 21, Brewer, ME 04412-1021 | 2013-07-01 |
| 1487999504 | Susan M Steele | Nurse Practitioner | 33 Whiting Hill Rd, Suite 33, Brewer, ME 04412-1021 | 2012-11-29 |
| 1528334406 | Chittalsinh M. Raulji | Pediatrics | 33 Whiting Hill Rd, Suite 31, Brewer, ME 04412-1021 | 2012-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| Taxonomy Code | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
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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.