SHIPMAN PEDIATRICS, LLC (NPI# 1790807139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790807139 |
| Entity Type | Organization |
| Organization Name | SHIPMAN PEDIATRICS, LLC |
| Practice Address |
1 Brickyard Ln Unit D York ME 03909-1604 |
| Mailing Address |
541 Mason Bay Rd Jonesport ME 04649-3501 |
| Practice Telephone | 2074972996 |
| Practice Fax Number | 2074973467 |
| Mailing Telephone | 2074972996 |
| Mailing Fax Number | 2074973467 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | RUSSELL SHIPMAN (OWNER) |
| Authorized Official Telephone | 2074972996 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 1575 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 408230000 | 05 | |
| ME | CIGNA | 7496508 | 01 |
| ME | AETNA | 2824368 | 01 |
| ME | BCBS | 047343 | 01 |
| NH | 30233307 | 05 | |
| ME | AETNA | 5924615 | 01 |
| ME | HARVARD PILGRIM | G34607 | 01 |
| ME | CIGNA | M221430 | 01 |
| ME | CIGNA | M121911C | 01 |
| Street Address |
1 BRICKYARD LN UNIT D |
| City | YORK |
| State | ME |
| Zip Code | 03909-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770558983 | Nancy A Flolid | Chiropractor | 1 Brickyard Ln, Suite Bb, York, ME 03909-1686 | 2006-02-21 |
| 1700062460 | Richard Dimario Pa | Podiatrist | 1 Brickyard Ln, Unit A, York, ME 03909-1604 | 2008-01-11 |
| 1902926710 | Chiropractic Works, P.C. | Chiropractor | 1 Brickyard Ln, Suite Bb, York, ME 03909-1686 | 2007-03-29 |
| 1821154071 | Barry M Salter | Internal Medicine | 1 Brickyard Ln, York, ME 03909-1686 | 2006-12-29 |
| 1134295769 | York Primary Care LLC | Internal Medicine | 1 Brickyard Ln, Suite Cc, York, ME 03909-1604 | 2006-11-27 |
| 1285746883 | Joel William Keenan | Internal Medicine | 1 Brickyard Ln, Suite Cc, York, ME 03909 | 2006-08-31 |
| 1730154949 | John C Beddoe | Chiropractor | 1 Brickyard Ln, Suite Bb, York, ME 03909-1686 | 2006-02-21 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059111 | Harbor Pediatrics, P.a. | Pediatrics | 1 Brickyard Ln Unit B, York, ME 03909-1686 | 2019-12-09 |
| 1053607705 | Christopher J Russo | Pediatrics | 1001 S George St Ste 130, York, PA 17403-3676 | 2011-06-21 |
| 1033400783 | Samira Kannarkatt | Pediatrics | 2050 S Queen St Ste 100, York, PA 17403-4829 | 2011-04-29 |
| 1194868018 | Vidyasagar Reddy Bollampalli | Pediatrics | 1720 S Queen St, York, PA 17403-4632 | 2007-02-14 |
| 1043226236 | Stephen R Brennan | Pediatrics | 109 Woodbridge Rd, York, ME 03909-1450 | 2006-07-31 |
| 1033144035 | Furman Titus Updike Jr. | Pediatrics | 2062 Wyntre Brooke Dr, York, PA 17403-4545 | 2006-07-11 |
| 1023077708 | Yvette Yamcek-meleka | Pediatrics | 2339 S George St, York, PA 17403-5009 | 2006-03-21 |
| 1891763272 | Nicole M Toth | Pediatrics | 116 S George St, Suite 301, York, PA 17401-1474 | 2006-03-10 |
| 1912996083 | Renee Patricia Howard | Pediatrics | 2860 Carol Rd, York, PA 17402-3857 | 2005-10-20 |
| 1932195120 | Richard Paul Lampert | Pediatrics | 32 York St, York, ME 03909-1309 | 2005-09-22 |
| Find all providers in YORK | ||||
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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.