MARCO CORNELIO (NPI# 1902125909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902125909 |
| Entity Type | Individual |
| Full Name | MARCO CORNELIO |
| Credential | M.D. |
| Practice Address |
25a June St Ste 111 Sanford ME 04073-2642 |
| Mailing Address |
Po Box 99 Lincoln ME 04457-0099 |
| Practice Telephone | 2074907998 |
| Mailing Telephone | 2077946700 |
| Mailing Fax Number | 2077946777 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD19692 | ME | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 244361 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 175 W Broadway, Lincoln, ME 044574000 | 2077946700 | 2077946777 |
| Street Address |
25A JUNE ST STE 111 |
| City | SANFORD |
| State | ME |
| Zip Code | 04073-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003897935 | Anna Marie Scopellito-olsen | Internal Medicine | 25a June St Ste 111, Sanford, ME 04073-2642 | 2005-11-08 |
| 1306462007 | Maureen Brooks | Nurse Practitioner | 25a June St Ste 111, Sanford, ME 04073-2642 | 2020-06-19 |
| 1588116750 | James Pakman | Social Worker | 25a June St Ste 111, Sanford, ME 04073-2642 | 2016-11-03 |
| 1083086037 | Cara Lavertu | Nurse Practitioner | 25a June St Ste 111, Sanford, ME 04073 | 2015-10-28 |
| 1750720082 | Corinne Grant | Family Medicine | 25a June St Ste 111, Sanford, ME 04073 | 2013-06-20 |
| 1598852634 | Jessica Noelle Eid | Internal Medicine | 25a June St Ste 111, Sanford, ME 04073 | 2006-10-09 |
| 1194788703 | Shirley A Frederick | Family Medicine | 25a June St Ste 111, Sanford, ME 04073-2642 | 2006-04-07 |
| 1912968967 | Spiros P Lazos | Family Medicine | 25a June St Ste 111, Sanford, ME 04073 | 2006-03-30 |
| 1104895648 | Timothy A Theobald | Family Medicine | 25a June St Ste 111, Sanford, ME 04073-2642 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1619404860 | Matthew Jason Holt | Counselor | 469 Main Street, Suite 201, Sanford, ME 04073 | 2017-05-18 |
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1730639311 | Kathleen Ann Coward | Denturist | 1200 Main Street, Sanford, ME 04073 | 2016-10-07 |
| 1437522174 | We Care Home Care | Home Health | 38 Brook St Apt A, Sanford, ME 04073 | 2015-11-03 |
| 1619231602 | Paul E. Beaudoin | Dentist | 2 Stilson Street, Sanford, ME 04073 | 2012-06-25 |
| 1730332685 | York County Community Action Corps | Case Management | 35 Island Ave., Sanford, ME 04073 | 2008-10-23 |
| 1205031788 | Douglas W. Rainforth | Specialist | Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 | 2007-06-15 |
| 1275742645 | Janet S Steffens | Speech-Language Pathologist | Center for Communication, 1280 Main Street, Sanford, ME 04073 | 2007-05-22 |
| 1003033358 | Lauren M Torch | Social Worker | 890 Main Street, Suite 118 Lower Midtown Mall, Sanford, ME 04073 | 2007-04-19 |
| Find all providers in zip 04073 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1619463429 | Fhpg, LLC | Family Medicine | 2919 Beechtree Dr, Sanford, NC 27330-6934 | 2018-07-04 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1912318247 | Malathy T Sundaram M.d, LLC | Family Medicine | 312 Cottage St Ste A, Sanford, ME 04073-1817 | 2014-05-08 |
| 1487998738 | Carehere LLC | Family Medicine | 1403 Medical Plaza Dr Ste 205, Sanford, FL 32771-1047 | 2012-11-26 |
| 1508120734 | Jennifer Roehrs | Family Medicine | 2919 Beechtree Dr Ste 1120, Sanford, NC 27330-6934 | 2012-07-03 |
| 1871899021 | Urgent Cares of America North Carolina Inc | Family Medicine | 724 South Horner Blvd., Sanford, NC 27330 | 2011-02-07 |
| 1447567698 | Shri Hari Clinic, LLC | Family Medicine | 2200 S French Ave, Sanford, FL 32771-4253 | 2010-09-09 |
| 1336303346 | Thang Pham | Family Medicine | 211 Bush Blvd, Sanford, FL 32773-6188 | 2008-07-18 |
| Find all providers in SANFORD | ||||
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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.