DR. ROHIT GAUTAM (NPI# 1780994194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780994194 |
| Entity Type | Individual |
| Full Name | DR. ROHIT GAUTAM |
| Credential | MD |
| Practice Address |
4 Main St Van Buren ME 04785-1009 |
| Mailing Address |
Po Box 40 Caribou ME 04736-0040 |
| Practice Telephone | 2078682796 |
| Practice Fax Number | 2078682799 |
| Mailing Telephone | 2074982359 |
| Mailing Fax Number | 2074983947 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2013-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
018786 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 002435201 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518223502 | Rohit Gautam | Clinic/Center | 9205 S Shartel Ave Apt 201, Oklahoma City, OK 73139-5214 | 2012-04-04 |
| Street Address |
4 MAIN ST |
| City | VAN BUREN |
| State | ME |
| Zip Code | 04785-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051666 | Lindsey Desrosier | Nurse Practitioner | 4 Main St, Van Buren, ME 04785-1009 | 2020-07-23 |
| 1003356809 | Allison Guerrette | Registered Nurse | 4 Main St, Van Buren, ME 04785-1009 | 2017-02-28 |
| 1598113375 | Julie Raymond | Nurse Practitioner | 4 Main St, Van Buren, ME 04785-1009 | 2016-06-02 |
| 1629393327 | Pines Health Services | Social Worker | 4 Main St, Van Buren, ME 04785-1009 | 2010-04-06 |
| 1750549044 | Samuela Eudora Manages | Family Medicine | 4 Main St, Van Buren, ME 04785-1009 | 2008-05-23 |
| 1538120605 | Hans L Duvefelt | Family Medicine | 4 Main St, Van Buren, ME 04785-1009 | 2006-03-29 |
| 1376511741 | Rajendra Chowdhry | Surgery | 4 Main St, Van Buren, ME 04785-1009 | 2006-03-10 |
| 1386612372 | Claude Boma | Internal Medicine | 4 Main St, Van Buren, ME 04785-1009 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679944490 | Kristin Theriault | Social Worker | 358 Hamlin Rd, Hamlin, ME 04785 | 2015-10-20 |
| 1508188517 | Myles Peter Ouellette | Massage Therapist | 204 Champlain St, Van Buren, ME 04785 | 2010-02-17 |
| 1336380443 | Ouellette Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 State Street, Van Buren, ME 04785 | 2009-03-19 |
| 1114168945 | St Jude's Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 123 Wright Street, Von Buren, ME 04785 | 2009-03-06 |
| 1184852022 | Bernadette Fortin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 144 High St, Van Buren, ME 04785 | 2009-06-30 |
| 1245754209 | Walgreen Co | Pharmacy | 21 Main St, Van Buren, ME 04785-1008 | 2017-08-01 |
| 1760761134 | Katie Daigle | Pharmacist | 21 Main St, Van Buren, ME 04785-1008 | 2011-08-16 |
| 1174814396 | Marion Brett Felty | Pharmacist | 21 Main St, Van Buren, ME 04785-1008 | 2011-04-21 |
| 1851462931 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 21 Main Street, Van Buren, ME 04785-1008 | 2006-11-13 |
| 1093889511 | Hebert Rexall Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 31 Main St, Van Buren, ME 04785-1012 | 2006-11-17 |
| Find all providers in zip 04785 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851327936 | Mark Braun | Internal Medicine | 306 Us Route 1 Ste C1, Scarborough, ME 04074-7640 | 2006-06-23 |
| 1720022536 | George N Morrissette | Internal Medicine | 140 Russell St, Lewiston, ME 04240-6026 | 2006-06-15 |
| 1578518106 | Izabela Sabina Lutostanska | Internal Medicine | Togus Road, Togus Va Hospital, Augusta, ME 04330 | 2006-05-23 |
| 1972815165 | Randa Jaber | Internal Medicine | 46 Fairview Ave, Suite 111, Skowhegan, ME 04976-1481 | 2010-07-05 |
| 1053593962 | Karen E. Saylor | Internal Medicine | 50 Marquis Rd, Freeport, ME 04032-6477 | 2007-12-03 |
| 1073736229 | Roland H. Knausenberger, M.d. Pa | Internal Medicine | 180 Kennedy Memorial Dr, Suite 202, Waterville, ME 04901-4540 | 2007-04-10 |
| 1649363805 | Jabbar Fazeli | Internal Medicine | 1321 Washington Ave, Suite 310, Portland, ME 04103-3636 | 2006-10-02 |
| 1699868158 | Heidi R Wierman | Internal Medicine | 22 Bramhall St., Portland, ME 04102 | 2006-10-02 |
| 1952406308 | Roland H Knausenberger | Internal Medicine | 180 Kennedy Memorial Drive, Ste 202, Waterville, ME 04901 | 2006-09-13 |
| 1326156605 | Jabbar Fazeli Md Maine Geriatrics | Internal Medicine | 1321 Washington Ave, Suite 310, Portland, ME 04103-3636 | 2006-08-28 |
| 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.