DR. DANFORTH S DESENA (NPI# 1881669836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881669836 |
Entity Type | Individual |
Full Name | DR. DANFORTH S DESENA |
Credential | D.P.M. |
Practice Address |
68 Marginal Way 4th Floor Portland ME 04101-2444 |
Practice Telephone | 2078791339 |
Practice Fax Number | 2078791092 |
Mailing Telephone | 2078791339 |
Mailing Fax Number | 2078791092 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2011-01-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
POD170 | ME | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 114830099 | 05 |
Street Address |
68 MARGINAL WAY 4TH FLOOR |
City | PORTLAND |
State | ME |
Zip Code | 04101-2444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417952318 | Portland Foot & Ankle, Pa | Podiatrist | 68 Marginal Way, 4th Floor, Portland, ME 04101 | 2005-06-16 |
1710125596 | Kenneth Maisak | Podiatrist | 68 Marginal Way, Portland, ME 04101-2444 | 2009-02-02 |
1780650408 | Robert S Juris | Podiatrist | 68 Marginal Way, 4th Fllor, Portland, ME 04101-2444 | 2006-02-23 |
1780659722 | Kenneth Paul Flanigan IIi | Podiatrist | 68 Marginal Way, 4th Floor, Portland, ME 04101-2444 | 2006-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
Find all providers in zip 04101 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992942064 | Lester Tengsico LLC | Podiatrist | 10424 Se Cherry Blossom Dr Ste F, Portland, OR 97216-2825 | 2009-01-12 |
1811006596 | Joshua P Mitnick | Podiatrist | 8305 Se Monterey Ave., #101, Portland, OR 97266 | 2006-08-29 |
1760434674 | David C Greenberg | Podiatrist | 948 Ne 102nd Ave, Suite 103, Portland, OR 97220-4064 | 2006-05-17 |
1134102320 | Steven Gary Tillett | Podiatrist | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2005-11-22 |
1063595817 | Richard Steinmetz | Podiatrist | 980 Forest Ave, Ste 102, Portland, ME 04103-3357 | 2006-10-23 |
1780650408 | Robert S Juris | Podiatrist | 68 Marginal Way, 4th Fllor, Portland, ME 04101-2444 | 2006-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801992375 | Joseph A Greco | Podiatrist | 95 East Ave, Lewiston, ME 04240 | 2006-09-15 |
1275518144 | Jessica L Buckner | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2005-12-13 |
1023005378 | Dominick Olivo | Podiatrist | 175 W Broadway, Lincoln, ME 04457-4000 | 2005-10-03 |
1518951201 | Daniel James Benson | Podiatrist | 12 Spruce St, Suite #5, Augusta, ME 04330-5204 | 2005-09-08 |
1598160301 | Podiatry of Northern Maine | Podiatrist | 22 North St, Houlton, ME 04730-1833 | 2014-10-23 |
1679829212 | David Thao | Podiatrist | 529 S Patten Rd, Patten, ME 04765-3007 | 2012-08-01 |
1386925055 | Jared Yadon Kohlbacher | Podiatrist | 140 Academy St Ste 10, Presque Isle, ME 04769-3102 | 2011-09-07 |
1962669556 | Melissa Ann Milza | Podiatrist | 5 Abby Rd, Windham, ME 04062-5513 | 2008-05-21 |
1043498744 | Richard Steinmetz Dpm | Podiatrist | 846 Main St, Ste 2, Westbrook, ME 04092-2847 | 2008-02-05 |
1538346564 | Associated Foot Care Pa | Podiatrist | 95 East Ave, Lewiston, ME 04240 | 2008-01-22 |
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.