MIDCOAST INTEGRATIVE HEALTHCARE (NPI# 1952647901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952647901 |
| Entity Type | Organization |
| Organization Name | MIDCOAST INTEGRATIVE HEALTHCARE |
| Other Organization Name | JENNIFER LAKIS, D.O. |
| Practice Address |
14 Maine St Suite 205, Box 14 Brunswick ME 04011-2049 |
| Practice Telephone | 2077989677 |
| Practice Fax Number | 2074062029 |
| Mailing Telephone | 2077989677 |
| Mailing Fax Number | 2074062029 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | DR. JENNIFER LEE LAKIS (DOCTOR) |
| Authorized Official Telephone | 2077989677 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jennifer Lakis, D.O. | Doing Business As Name - Organization |
| Street Address |
14 MAINE ST SUITE 205, BOX 14 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916410 | Nancy Egan | Dermatology | 14 Maine St, Suite 201, Brunswick, ME 04011-2026 | 2005-07-18 |
| 1053967778 | Fiona Rachel Neale | Nurse Practitioner | 14 Maine St, Brunswick, ME 04011-2049 | 2019-08-19 |
| 1790219921 | Michelle Kanga | Psychologist | 14 Maine St, Suite 309, Brunswick, ME 04011-2049 | 2017-04-14 |
| 1063860229 | Julie L. Quimby, Phd | Clinic/Center | 14 Maine St, Suite 216b, Brunswick, ME 04011-2049 | 2016-05-28 |
| 1144692880 | Maine Geropsychology, LLC | Clinic/Center | 14 Maine St, Suite 111-c, Brunswick, ME 04011-2049 | 2015-10-21 |
| 1245622919 | Sarah Kopke | Physician Assistant | 14 Maine St, Brunswick, ME 04011-2049 | 2015-03-04 |
| 1891133500 | Providence Service Corporation of Maine | Community/Behavioral Health | 14 Maine St, Suite 202, Box 50, Brunswick, ME 04011-2049 | 2013-06-05 |
| 1295076800 | Alejandro A. Enriquez Zamalloa | Pharmacist | 14 Maine St, Suite 208, Brunswick, ME 04011-2049 | 2013-03-06 |
| 1013252162 | Nancy Ives | Social Worker | 14 Maine St, Suite 301, Brunswick, ME 04011-2049 | 2012-11-30 |
| 1467706580 | Jennifer Rebecca Freundlich | Counselor | 14 Maine St, Suite 212, Fort Andross Mill, Brunswick, ME 04011-2049 | 2012-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285896514 | Jennifer Lee Lakis | Neuromusculoskeletal Medicine & OMM | 14 Maine St # 14, Brunswick, ME 04011-2049 | 2008-06-27 |
| 1326541616 | Brunswick Osteopathy LLC | Neuromusculoskeletal Medicine & OMM | 85 Baribeau Dr, Brunswick, ME 04011-3249 | 2018-03-13 |
| 1891082871 | Michael Posch | Neuromusculoskeletal Medicine & OMM | 6 Farley Rd, Brunswick, ME 04011-2642 | 2011-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428848 | David D Keller Do PC | Neuromusculoskeletal Medicine & OMM | 195 Fore River Pkwy Ste 470, Portland, ME 04102-2787 | 2018-12-11 |
| 1659715738 | Maine Osteopathic Medicine, LLC | Neuromusculoskeletal Medicine & OMM | 146 Ocean St, Suite 2, South Portland, ME 04106-3664 | 2013-04-19 |
| 1114161874 | Timothy Christopher Kulikowski | Neuromusculoskeletal Medicine & OMM | 915 Union St Ste 4, Bangor, ME 04401-8603 | 2009-04-26 |
| 1720242357 | Daniel S Gibbons | Neuromusculoskeletal Medicine & OMM | 23 Durham Rd Ste 101, Freeport, ME 04032-6796 | 2008-07-14 |
| 1003006271 | Karen M Benezra | Neuromusculoskeletal Medicine & OMM | 62 Portland Rd Ste 21, Kennebunk, ME 04043-6650 | 2007-07-25 |
| 1508065210 | Joshua Iannetta | Neuromusculoskeletal Medicine & OMM | 632 Us Route 1, Scarborough, ME 04074-9794 | 2007-07-12 |
| 1265579015 | Bonnie Joan Sendzicki | Neuromusculoskeletal Medicine & OMM | 81 Blackguard Road, Waterford, ME 04088 | 2007-01-31 |
| 1760531180 | Christine Blake Smith | Neuromusculoskeletal Medicine & OMM | 114 Stroudwater St, Westbrook, ME 04092-4037 | 2007-01-09 |
| 1003984311 | Charles W Sullivan | Neuromusculoskeletal Medicine & OMM | 98 Second St, Hallowell, ME 04347-1368 | 2006-12-04 |
| 1093882102 | Peter Charles Mason | Neuromusculoskeletal Medicine & OMM | 270 State Rd, West Bath, ME 04530-6320 | 2006-11-30 |
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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.