NEW ENGLAND MOLECULAR IMAGING LLC (NPI# 1730122508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730122508 |
| Entity Type | Organization |
| Organization Name | NEW ENGLAND MOLECULAR IMAGING LLC |
| Practice Address |
15 Hospital Dr York ME 03909-1011 |
| Mailing Address |
100 Bayview Circle Suite 400 Newport Beach CA 92660-2984 |
| Practice Telephone | 2073634321 |
| Mailing Telephone | 8005443215 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | RHONDA LONGMORE GRUND (EXEC VP & CFO) |
| Authorized Official Telephone | 8005443215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
01601 | ME | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 166060000 | 05 | |
| ME | ANTHEM BLUE CROSS | 043913 | 01 |
| ME | U.S. DEPT OF LABOR OWCP | 129019400 | 01 |
| ME | AETNA | 2811694 | 01 |
| ME | HARVARD PILGRIM HLTH CARE | 800942 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508497413 | New England Molecular Imaging LLC | Clinic/Center | 6 Tsienneto Rd Ste 100ll, Derry, NH 03038-1584 | 2020-01-29 |
| 1982649158 | New England Molecular Imaging LLC | Clinic/Center | 300 Main St, Lewiston, ME 04240-7007 | 2006-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | NEW ENGLAND MOLECULAR IMAGING LLC | 1900 S. State Colllege Blvd., Ste 600, Anaheim, CA 03801-0000 |
| Street Address |
15 HOSPITAL DR |
| City | YORK |
| State | ME |
| Zip Code | 03909-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280031 | Charlotte S. Greene | Physician Assistant | 15 Hospital Dr, York, ME 03909-1011 | 2005-07-28 |
| 1629626932 | Rebekah Hodson | Occupational Therapist | 15 Hospital Dr, York, ME 03909-1099 | 2019-08-29 |
| 1013562602 | Megan Burns | Physical Therapist | 15 Hospital Dr, York, ME 03909-1099 | 2019-08-09 |
| 1679043046 | Consuelo Elder | Pharmacist | 15 Hospital Dr, York, ME 03909-1099 | 2018-11-28 |
| 1699240242 | Nancie Mccard | Pharmacist | 15 Hospital Dr, York, ME 03909-1011 | 2018-10-10 |
| 1447739180 | Valerie Dupill | Pharmacist | 15 Hospital Dr, York, ME 03909-1011 | 2018-08-13 |
| 1598255770 | Joanna Corcoran | Midwife | 15 Hospital Dr, York, ME 03909-1011 | 2018-05-14 |
| 1063916005 | Kathryn Broderick | Speech-Language Pathologist | 15 Hospital Dr, York, ME 03909-1099 | 2018-03-23 |
| 1144732058 | Stephanie Rebecca Gonsalves | Physician Assistant | 15 Hospital Dr, York, ME 03909-1011 | 2017-11-01 |
| 1316480841 | Katherine Leonard | Physical Therapist | 15 Hospital Dr, York, ME 03909-1011 | 2016-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206049 | Kristina Nicole Scangas | Physician Assistant | 3 Loving Kindness Way, York, ME 03909 | 2019-10-16 |
| 1467923540 | St. Georges Childcare Center | Clinic/Center | 407 York Street, York Harbor, ME 03909 | 2018-12-16 |
| 1518398023 | Jm Dental PC | Dentist | 433 F Us Route 1, Suite 107, York, ME 03909 | 2013-12-09 |
| 1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
| 1720351240 | Kimberly Trafton | Acupuncturist | 272 York Street, York, ME 03909 | 2012-02-14 |
| 1518237767 | Jill Ann Colton-spina | Registered Nurse | 32 York Street, Psychiatry Associates of York Hospital, York, ME 03909 | 2012-01-05 |
| 1497980650 | York Family Dental | Dentist | 433f Us Route 1, Cottage Place Suite 107, York, ME 03909 | 2009-05-18 |
| 1356590947 | Susan A. Emerson | Occupational Therapist | 41 Brixham Rd., York, ME 03909 | 2008-09-18 |
| 1316122252 | John Wendelin Anderer | Dentist | 433 F Us Route 1 Cottage Place John Anderer D.d.s., 107, York, ME 03909 | 2008-01-09 |
| 1720296486 | Town of York/york School Department | Local Education Agency (LEA) | 469 U.S. Route One, York, ME 03909 | 2007-05-18 |
| Find all providers in zip 03909 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380925 | Pdi Health Me LLC | Clinic/Center | 45 Portland Rd, Kennebunk, ME 04043-6660 | 2020-06-11 |
| 1740563428 | Insight-premier Health LLC | Clinic/Center | 27 Bowdoin Street, Manchester, ME 04351 | 2011-09-20 |
| 1720166697 | New England Mobile X-ray | Clinic/Center | 891 Brighton Ave, Suite 3, Portland, ME 04102-1056 | 2006-11-01 |
| 1427061969 | Introspective Imaging Inc. | Clinic/Center | 29 Crossing Brook Rd, Cumberland, ME 04021-4123 | 2006-08-14 |
| 1245727296 | Shields Pet/ct At Cmmc, LLC | Clinic/Center | 105 Topsham Fair Mall Rd, Topsham, ME 04086-1773 | 2018-04-16 |
| 1750828539 | Shields Imaging At York Hospital LLC | Clinic/Center | 114 Sanford Rd, Wells, ME 04090-5533 | 2017-01-31 |
| 1982153052 | Shields Pet/ct At Cmmc, LLC | Clinic/Center | 300 Main St, Lewiston, ME 04240-7027 | 2016-09-29 |
| 1902100555 | Insight Premier Health | Clinic/Center | 51 Us Route 1, Suite O, Scarborough, ME 04074-7158 | 2010-12-22 |
| 1982649158 | New England Molecular Imaging LLC | Clinic/Center | 300 Main St, Lewiston, ME 04240-7007 | 2006-06-19 |
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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.