MS. MARILYN JOY ERICKSON (NPI# 1932335940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932335940 |
| Entity Type | Individual |
| Full Name | MS. MARILYN JOY ERICKSON |
| Credential | M.S. |
| Practice Address |
417 State Street Suite 305 Bangor ME 04401 |
| Practice Telephone | 2079737520 |
| Practice Fax Number | 2079737674 |
| Mailing Telephone | 2079737520 |
| Mailing Fax Number | 2079737674 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2011-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427251024 | Marilyn Erickson | Social Worker | 17305 Cedar Ave S, Lakeville, MN 55044-3901 | 2007-06-09 |
| 1811951155 | Marilyn Jean Erickson | Nurse Practitioner | 444 Regency Parkway Dr, Ste 104, Omaha, NE 68114-3779 | 2006-04-13 |
| Street Address |
417 STATE STREET SUITE 305 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790765329 | Christine Mary Fink | Clinical Neuropsychologist | 417 State Street, Webber East, Suite 209, Bangor, ME 04401 | 2006-01-19 |
| 1083215404 | Ahmed Messahel | Oral & Maxillofacial Surgery | 417 State Street, Webber West Suite 340, Bangor, ME 04441-6630 | 2020-11-03 |
| 1417580754 | Nicholas John Liska | Orthopaedic Surgery | 417 State Street, Suite 340, Webber West, Bangor, ME 04401 | 2020-02-14 |
| 1356809883 | Abigail Elizabeth Bobbitt | Physician Assistant | 417 State Street, Webber West, Suite 443, Bangor, ME 04401 | 2019-03-04 |
| 1740732478 | Gabrielle Ingerson | Physician Assistant | 417 State Street, Bangor, ME 04401 | 2016-10-28 |
| 1780098236 | Farwa Batool | Surgery | 417 State Street, Suite 340, Webber West, Bangor, ME 04401-6634 | 2014-06-12 |
| 1992069058 | Jenifer L Mckenney | Nurse Practitioner | 417 State Street, Webber West Suite 141, Bangor, ME 04401 | 2012-07-03 |
| 1881968543 | Rudolph Daniel Marciano IIi | Neurological Surgery | 417 State Street, Webber East, Ste 221, Bangor, ME 04401 | 2012-02-28 |
| 1760618862 | James M Macnutt | Neurological Surgery | 417 State Street, Webber East Building Suite 221, Bangor, ME 04401 | 2009-06-03 |
| 1811041437 | Diane Marion Reynolds | Physician Assistant | 417 State Street, Webber East, Suite 310, Bangor, ME 04401-1000 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154487437 | Mindy L. Rice | Genetic Counselor, MS | 417 State St, Suite 310, Bangor, ME 04401-6630 | 2006-12-29 |
| 1366508640 | Ann Reinhard | Genetic Counselor, MS | 417 State St, Suite 310, Bangor, ME 04401-6630 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215256763 | Kristen Fowles Goddard | Genetic Counselor, MS | 897 West Main Street, Dover-foxcroft, ME 04426 | 2010-05-24 |
| 1821017500 | Valerie Catherine Banks | Genetic Counselor, MS | 887 Congress Street, Suite 320, Portland, ME 04102 | 2006-07-19 |
| 1851904866 | Ashley Kennes | Genetic Counselor, MS | 100 Campus Dr Unit 121, Scarborough, ME 04074-7172 | 2020-08-28 |
| 1407471121 | Hannah Novak | Genetic Counselor, MS | 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 | 2020-06-09 |
| 1497305767 | Lindsey Kelley | Genetic Counselor, MS | 100 Campus Dr Unit 121, Scarborough, ME 04074-7172 | 2019-09-18 |
| 1881180339 | Stephanie Wiryaman Sharp | Genetic Counselor, MS | 100 Campus Drive, Suite 121, Scarborough, ME 04074 | 2018-07-09 |
| 1083162481 | Kathlene Gravelin | Genetic Counselor, MS | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2016-09-14 |
| 1760875215 | Jeryl Erickson | Genetic Counselor, MS | 100 Campus Dr Unit 121, Scarborough, ME 04074-7172 | 2015-03-09 |
| 1851781710 | Katherine Anne Lafferty | Genetic Counselor, MS | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2015-01-30 |
| 1700276581 | Amanda Lamb | Genetic Counselor, MS | 100 Campus Dr, Suite #121, Scarborough, ME 04074-7171 | 2015-01-30 |
| 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.