DR. NICHOLAS DOMINIC COLACCHIO (NPI# 1871855502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871855502 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS DOMINIC COLACCHIO |
| Credential | MD |
| Practice Address |
5 Bucknam Rd Ste 1d Falmouth ME 04105-1208 |
| Practice Telephone | 2077811551 |
| Practice Fax Number | 2077811552 |
| Mailing Telephone | 2077811551 |
| Mailing Fax Number | 2077811552 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2018-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD21891 | ME | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 2017-00044 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICAL LICENSE | 2017-00044 | 01 |
| Street Address |
5 BUCKNAM RD STE 1D |
| City | FALMOUTH |
| State | ME |
| Zip Code | 04105-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467906073 | Erin Cater | Physician Assistant | 5 Bucknam Rd Ste 1d, Falmouth, ME 04105-1208 | 2016-08-11 |
| 1235481110 | Melanie Elizabeth Campbell | Nurse Practitioner | 5 Bucknam Rd Ste 1d, Falmouth, ME 04105-1208 | 2012-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790134906 | Marsea Spiegel | Massage Therapist | 4 Fundy Rd, Aon Wellness Center, Suite 105, Falmouth, ME 04105 | 2016-06-08 |
| 1033368691 | Lori Ann Coffin | Speech-Language Pathologist | 193 Foreside Road, Falmouth, ME 04105 | 2008-09-18 |
| 1699959478 | Daniel Evert Feldman | Specialist | 50 Depot Rd., Falmouth, ME 04105 | 2007-12-28 |
| 1417130089 | Annette Bonnie Mueller | Nurse Practitioner | 202 Us Route 1, Suite 200, True North Health Center, Falmouth, ME 04105 | 2007-12-06 |
| 1225241912 | Falmouth School Department | Local Education Agency (LEA) | 51 Woodville Road, Falmouth, ME 04105 | 2007-05-08 |
| 1891810255 | Donna Lynne Keenan | Physical Therapist | U.S. Route One, Falmouth, ME 04105 | 2007-03-21 |
| 1306973938 | Andrea M Hall | Physical Therapist | 367 Us Rt One, Falmouth, ME 04105 | 2007-02-28 |
| 1427191907 | Falmouth Vision Center | Technician/Technologist | 204 Us Route One, Falmouth, ME 04105 | 2007-02-15 |
| 1588719314 | Catherine Marion Bernard | Physical Therapist | 50 Depot Rd, Falmouth, ME 04105 | 2007-01-24 |
| 1164597928 | Casco Bay Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 256 Us Route One, Suite 5, Falmouth, ME 04105 | 2006-11-21 |
| Find all providers in zip 04105 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154577971 | Lawrence Marvin Leonard | Orthopaedic Surgery | 26 Amerescoggin Rd, Falmouth, ME 04105-1523 | 2008-08-12 |
| 1609804632 | Robert B Wilsterman | Orthopaedic Surgery | 5 Bramblebush Park, Falmouth, MA 02540-2325 | 2006-06-29 |
| 1215965561 | Orthopedic Specialists, LLC | Orthopaedic Surgery | 5 Bramble Bush Dr, Falmouth, MA 02540-2325 | 2006-06-28 |
| 1285681916 | David S Babin | Orthopaedic Surgery | 348 Gifford St, Falmouth, MA 02540-5110 | 2006-05-28 |
| 1972502052 | George M Babikian | Orthopaedic Surgery | 5 Bucknam Rd, Suite 1d, Falmouth, ME 04105-1392 | 2005-07-20 |
| 1487656724 | Sarah Beth Shubert | Orthopaedic Surgery | 20 Northbrook Drive, Falmouth, ME 04105 | 2005-06-01 |
| 1386195063 | Spectrum Healthcare Partners, P.a. | Orthopaedic Surgery | 20 Northbrook Dr, Falmouth, ME 04105 | 2016-10-18 |
| 1538610217 | Spectrum Healthcare Partners, P.a. | Orthopaedic Surgery | 20 Northbrook Dr, Falmouth, ME 04105-1318 | 2016-10-18 |
| 1932504040 | Falmouth Orthopaedic Center | Orthopaedic Surgery | 20 Northbrook Dr, Falmouth, ME 04105-1318 | 2014-10-31 |
| 1922273143 | Adam J Rana | Orthopaedic Surgery | 5 Bucknam Road, Suite 1d, Falmouth, ME 04105 | 2008-04-29 |
| Find all providers in FALMOUTH | ||||
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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.