DIETER KRECKEL (NPI# 1912979402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912979402 |
| Entity Type | Individual |
| Full Name | DIETER KRECKEL |
| Credential | MD |
| Practice Address |
430 Franklin St Rumford ME 04276-2104 |
| Practice Telephone | 2077955709 |
| Mailing Telephone | 2073690146 |
| Mailing Fax Number | 2073648626 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2018-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 013600 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
430 FRANKLIN ST |
| City | RUMFORD |
| State | ME |
| Zip Code | 04276-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760455299 | Jo Ann Broomhall | Physician Assistant | 430 Franklin St, Rumford, ME 04276-2104 | 2006-02-07 |
| 1932614161 | Kimberly Dawn Desanctis | Nurse Practitioner | 430 Franklin St, Rumford, ME 04276-2104 | 2017-12-11 |
| 1952749723 | Leslie Bradbury | Family Medicine | 430 Franklin St, Rumford, ME 04276-2104 | 2013-06-13 |
| 1568800332 | Lisa Torgersen | Family Medicine | 430 Franklin St, Rumford, ME 04276-2104 | 2013-06-13 |
| 1427328434 | Emily L Mccue | Nurse Practitioner | 430 Franklin St, Rumford, ME 04276-2104 | 2012-01-06 |
| 1386870004 | Barbara Bassett-dumont | Social Worker | 430 Franklin St, Rumford, ME 04276-2104 | 2009-06-09 |
| 1851554075 | Jeffrey Jonathan Lynds | Family Medicine | 430 Franklin St, Rumford, ME 04276-2104 | 2008-07-08 |
| 1265695480 | Stephanie Sinclair | Family Medicine | 430 Franklin St, Rumford, ME 04276-2104 | 2008-07-08 |
| 1437290558 | Mara T Best | Social Worker | 430 Franklin St, Rumford, ME 04276-2104 | 2007-02-09 |
| 1881775864 | Said George Daoud | Family Medicine | 430 Franklin St, Rumford, ME 04276-2104 | 2006-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225694433 | Adapt-able Living, LLC | Occupational Therapist | 53 East Andover Rd, Rumford, ME 04276 | 2019-05-13 |
| 1134490824 | River Valley Counseling LLC | Community/Behavioral Health | 21 Canal St., Rumford, ME 04276 | 2012-01-26 |
| 1457467557 | Catherine Lynn Journey | Psychologist | 60 Lowell Street, Rumford, ME 04276 | 2006-08-22 |
| 1710907852 | Michael J. Newman | Dentist | 210 Lincoln Ave., Suite #2, Rumford, ME 04276 | 2006-07-20 |
| 1134390925 | Hope Elizabeth Calderwood | Physical Therapist | 420 Franklin St, Rumford, ME 04276 | 2008-03-19 |
| 1801080254 | James J Orino Dds Pa | Dentist | 210 Lincoln Ave, Rumford, ME 04276 | 2007-08-29 |
| 1013342682 | Carly Dawn Pelletier | Specialist/Technologist | 799 Hancock St, Rumford, ME 04276-1547 | 2013-09-13 |
| 1811005200 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 520 Waldo St, Rumford, ME 04276-1617 | 2006-08-27 |
| 1306113527 | Heather N Carmody | Midwife, Lay | 435 Cumberland St, Rumford, ME 04276-1658 | 2011-11-17 |
| 1265684559 | Mary Hickey | Social Worker | 314 Cumberland St, Rumford, ME 04276-1707 | 2008-10-17 |
| Find all providers in zip 04276 | ||||
| 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 |
|---|---|---|---|---|
| 1568634004 | Dawn Frances Moten | Family Medicine | 20 Newman Ave #9002, Rumford, RI 02916 | 2008-03-25 |
| 1952749723 | Leslie Bradbury | Family Medicine | 430 Franklin St, Rumford, ME 04276-2104 | 2013-06-13 |
| 1568800332 | Lisa Torgersen | Family Medicine | 430 Franklin St, Rumford, ME 04276-2104 | 2013-06-13 |
| 1851554075 | Jeffrey Jonathan Lynds | Family Medicine | 430 Franklin St, Rumford, ME 04276-2104 | 2008-07-08 |
| 1265695480 | Stephanie Sinclair | Family Medicine | 430 Franklin St, Rumford, ME 04276-2104 | 2008-07-08 |
| 1881775864 | Said George Daoud | Family Medicine | 430 Franklin St, Rumford, ME 04276-2104 | 2006-10-18 |
| 1528157369 | Lisa Susan Chenevert | Family Medicine | 431 Franklin St, Rumford, ME 04276-2100 | 2006-10-12 |
| 1538131024 | John Kroger | Family Medicine | 430 Franklin St, Rumford, ME 04276-2104 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887025 | Down East Community Hospital | Family Medicine | 1039 Main St, East Machias, ME 04630 | 2020-10-08 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1649889874 | Kateri Jeffery | Family Medicine | 12 Shuman Ave Ste 3, Augusta, ME 04330-6020 | 2020-07-23 |
| 1063064285 | Victoria A Deane | Family Medicine | 37 Fall Brook St, Portland, ME 04103-4224 | 2019-07-09 |
| 1265961148 | Full Circle America LLC | Family Medicine | 73 Cedar Ln, Nobleboro, ME 04555-8664 | 2017-06-05 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1730541749 | Benjamin Slocum | Family Medicine | 126 Shaker Rd, Gray, ME 04039-9629 | 2016-03-28 |
| 1295129393 | Oren Gersten | Family Medicine | 27 Ocean St Ste 3, South Portland, ME 04106-2854 | 2015-03-26 |
| 1205240678 | Martha Gilman | Family Medicine | 66 Leighton Rd Ste 2, Falmouth, ME 04105-2225 | 2014-06-13 |
| 1568875565 | Thomas Albert | Family Medicine | 300 Professional Dr Ste 2c, Scarborough, ME 04074-8897 | 2014-06-06 |
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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.