MICHAEL WOOD DELUCIA


Address: 22 Bramhall St, Portland, ME 04102-3134
Phone: 8023569121

MICHAEL WOOD DELUCIA (NPI# 1821626557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821626557
Entity Type Individual
Full Name MICHAEL WOOD DELUCIA
Credential MD
Practice Address 22 Bramhall St
Portland
ME 04102-3134
Mailing Address 38 Massachusetts Ave
Portland
ME 04102-2514
Practice Telephone 8023569121
Mailing Telephone 8023569121
Enumeration Date 2020-03-30
Last Update Date 2020-03-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers MICHAEL DELUCIA

NPI Name Taxonomy Address Enumeration
1669935920 Michael Delucia Dentist 2105 Dewey Ave, Rochester, NY 14615-2207 2019-04-12
1306072863 Michael Wayne Delucia Dentist 14185 Beach Blvd, Suite 2, Jacksonville, FL 32250-1582 2009-06-10
1447339759 Michael J. Delucia Chiropractor 632 Federal Rd, Brookfield, CT 06804-2045 2006-11-06
1437174737 Michael A Delucia Pediatrics 1463 Canton Rd Ste A, Akron, OH 44312-4022 2006-07-13

Office Location

Street Address 22 BRAMHALL ST
City PORTLAND
State ME
Zip Code 04102-3134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386641355 Suzanne Maynard Specialist 22 Bramhall St, Dept of Anesthesiology, Portland, ME 04102 2005-07-05
1902406135 Barbara Lewis-armstrong Social Worker 22 Bramhall St, Portland, ME 04102-3175 2020-10-27
1285231217 Malia Haddock Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-10-02
1972118222 Morgan O'brien Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-09-14
1295349900 Natalie Margaret Petrone Occupational Therapist 22 Bramhall St, Portland, ME 04102-3175 2020-09-01
1467065565 Mandi Ann Horwath Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-08-28
1922610492 Diana Christine Hubbell Registered Nurse 22 Bramhall St, Portland, ME 04102-3134 2020-08-17
1790393023 Rami Waked Student in an Organized Health Care Education/Training Program 22 Bramhall St, Portland, ME 04102-3134 2020-07-22
1871117143 Lesley Raley Pharmacist 22 Bramhall St, Portland, ME 04102-3134 2020-06-03
1023638707 Rebecca Naomi Glass Physical Therapist 22 Bramhall St, Portland, ME 04102-3134 2020-04-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
Find all providers in zip 04102

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536602 Dario J Lapoma Student in an Organized Health Care Education/Training Program 1305 Se Birch St, Portland, OR 97214-5335 2020-10-18
1740888155 Charles Samuel Goldfoot Student in an Organized Health Care Education/Training Program 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 2020-10-16
1396343992 Shelby Taylor Bowerly Student in an Organized Health Care Education/Training Program 4522 Ne Ainsworth St, Portland, OR 97218-1322 2020-10-15
1821696816 Nancy Sierra Ferrer Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 2020-10-13
1437757663 David Gallacher Student in an Organized Health Care Education/Training Program 3303 S Bond Ave # 1, Portland, OR 97239-4501 2020-10-10
1366049777 Carolyn Evans Student in an Organized Health Care Education/Training Program 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 2020-10-08
1669081659 Amy Hill Student in an Organized Health Care Education/Training Program 3931 N Juneau St Apt 7, Portland, OR 97217-7419 2020-07-27
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1558986364 Haley Bosco Doyle Student in an Organized Health Care Education/Training Program 3587 Se Grant St, Portland, OR 97214-5829 2020-06-08
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04102

Improve Information

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Dataset Information

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.

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