DR. JESSICA M KWOCK (NPI# 1780941997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780941997 |
| Entity Type | Individual |
| Full Name | DR. JESSICA M KWOCK |
| Other Name | DR. JESSICA MAGLIONE |
| Credential | M.D. |
| Practice Address |
100 Foden Rd., West Suite 203 South Portland ME 04106-2327 |
| Mailing Address |
100 Gannett Dr Ste C South Portland ME 04106-5900 |
| Practice Telephone | 2075233900 |
| Practice Fax Number | 2075238593 |
| Mailing Telephone | (207) 828-0361 |
| Mailing Fax Number | 2078741483 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2017-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD21791 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
100 FODEN RD., WEST SUITE 203 |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386677904 | Pamela M Florea | Clinical Nurse Specialist | 100 Foden Rd., West, Suite 100, South Portland, ME 04106-2327 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952438384 | Elizabeth V Seiverling | Dermatology | 265 Western Ave Ste 1, South Portland, ME 04106-2415 | 2007-02-27 |
| 1750472825 | Joel A Sabean | Dermatology | 350 Cottage Rd, South Portland, ME 04106 | 2006-09-27 |
| 1508831900 | Kathy A Bush | Dermatology | 100 Foden Road West, Suite 100, South Portland, ME 04106 | 2006-02-20 |
| 1467422733 | Intermed Pa | Dermatology | 100 Gannett Dr, Suite C, South Portland, ME 04106-5900 | 2006-01-26 |
| 1275927618 | Patrick M Benson | Dermatology | 100 Foden Rd. West, South Portland, ME 04106 | 2015-03-24 |
| 1578952446 | Intermed, Pa | Dermatology | 100 Foden Road, West, South Portland, ME 04106-2327 | 2015-01-15 |
| 1962821769 | Thomas Samuel Bander | Dermatology | 265 Western Ave Ste 1, South Portland, ME 04106 | 2014-04-09 |
| 1386890614 | Christina E Killoran | Dermatology | 100 Foden Rd, West, Suite 100, South Portland, ME 04106-2327 | 2008-08-18 |
| 1255490694 | Joel A Sabean Md | Dermatology | 350 Cottage Rd, South Portland, ME 04106-3920 | 2006-12-08 |
| 1659342558 | Kenneth Galeckas | Dermatology | 100 Foden Road, West, Suite 100, South Portland, ME 04106 | 2006-01-30 |
| Find all providers in SOUTH PORTLAND | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
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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.