GARY P DEGEN (NPI# 1720053606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720053606 |
| Entity Type | Individual |
| Full Name | GARY P DEGEN |
| Credential | DPM |
| Practice Address |
175 W Broadway Lincoln ME 04457-4000 |
| Mailing Address |
Po Box 99 Lincoln ME 04457-0099 |
| Practice Telephone | 2077946700 |
| Practice Fax Number | 2077946777 |
| Mailing Telephone | 2077946700 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2014-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD1023 | ME | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00320 | KY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD GROUP | CH0142 | 01 |
| Street Address |
175 W BROADWAY |
| City | LINCOLN |
| State | ME |
| Zip Code | 04457-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023005378 | Dominick Olivo | Podiatrist | 175 W Broadway, Lincoln, ME 04457-4000 | 2005-10-03 |
| 1871088914 | Amber Lee Willey | Nurse Practitioner | 175 W Broadway, Lincoln, ME 04457-4000 | 2018-06-29 |
| 1235623307 | Oluwapelumi Aderonke Adeloye | Dentist | 175 W Broadway, Lincoln, ME 04457-4000 | 2018-06-21 |
| 1447780002 | Jamie Perry | Nurse Practitioner | 175 W Broadway, Lincoln, ME 04457-4000 | 2017-06-15 |
| 1023550399 | Mark Kent | Psychologist | 175 W Broadway, Lincoln, ME 04457-4000 | 2016-11-17 |
| 1942679899 | Laycee Duhaime | Nurse Practitioner | 175 W Broadway, Lincoln, ME 04457-4000 | 2015-09-22 |
| 1437533460 | Alex J Braddock | Physician Assistant | 175 W Broadway, Lincoln, ME 04457-4000 | 2015-07-20 |
| 1417399205 | Jodie L Perfect | Nurse Practitioner | 175 W Broadway, Lincoln, ME 04457-4000 | 2013-07-23 |
| 1154764975 | Katie Marie Adams | Family Medicine | 175 W Broadway, Lincoln, ME 04457 | 2013-04-11 |
| 1467895201 | Diksha Malik | Family Medicine | 175 W Broadway, Lincoln, ME 04457 | 2013-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
| 1902303142 | Jennifer Harvey | Speech-Language Pathologist | 36 Workman Terrace Street, Lincoln, ME 04457 | 2018-04-12 |
| 1255714275 | Jill Bouchard | Registered Nurse | 313 Enfield Rd, Lincoln, ME 04457 | 2015-07-08 |
| 1346594769 | Total Renal Care Inc | Clinic/Center | 250 Enfield Rd, Lincoln, ME 04457 | 2012-11-07 |
| 1932429743 | Anne Marie Osolinski | Counselor | 8 Fleming Street, Suite C, Lincoln, ME 04457 | 2010-06-03 |
| 1477886711 | Lakeview Afch Inc | Custodial Care Facility | 10 E Broadway, Lincoln, ME 04457 | 2009-09-17 |
| 1326273418 | Colonial Healthcare | Assisted Living Facility | 36 Workman Terrace, Lincoln, ME 04457 | 2009-05-19 |
| 1730346743 | Mark B Weatherbee Od | Optometrist | 26 Enfield Road, Lincoln, ME 04457 | 2008-05-19 |
| 1396948139 | Alfred H. Vandine Jr. | Counselor | 313 Enfield Road, Lincoln, ME 04457 | 2007-06-08 |
| 1902024870 | Mary Catherine Goolsby | Social Worker | 313 Enfield Rd., Lincoln, ME 04457 | 2007-04-23 |
| Find all providers in zip 04457 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598077406 | Garrett Marc Sessions | Podiatrist | 685 Twelve Bridges Dr Ste C, Lincoln, CA 95648-8689 | 2010-07-08 |
| 1194884387 | Benjamin Van Pham | Podiatrist | 685 Twelve Bridges Dr Ste F, Lincoln, CA 95648-8689 | 2006-12-06 |
| 1821091638 | Teresa K Burnap | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2080 | 2005-05-24 |
| 1053886184 | Penobscot Valley Foot and Ankle | Podiatrist | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2018-10-04 |
| 1154786598 | Benjamin Van Pham | Podiatrist | 685 Twelve Bridges Dr Ste F, Lincoln, CA 95648-8689 | 2015-12-30 |
| 1679953392 | Lincoln Foot Clinic | Podiatrist | 600 N Cotner Blvd, Suite 116, Lincoln, NE 68505 | 2015-06-08 |
| 1487069100 | Matthew Williamson | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2014-06-23 |
| 1538457619 | Derek Miller | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2011-07-11 |
| 1912211657 | Kara L Krejci Reed | Podiatrist | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2010-08-05 |
| 1235461294 | Joshua Morton Vest | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2010-02-02 |
| Find all providers in LINCOLN | ||||
Please comment or provide details below to improve the information on GARY P DEGEN.
| 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.