DR. THABO KENOSI (NPI# 1962624189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962624189 |
| Entity Type | Individual |
| Full Name | DR. THABO KENOSI |
| Credential | MD |
| Practice Address |
Mmp Endocrinology & Diabetes Center 175 Us Route One Scarborough ME 04074-9308 |
| Mailing Address |
1000 Houghton Ave Saginaw MI 48602-5303 |
| Practice Telephone | 2073967700 |
| Practice Fax Number | 2073967701 |
| Mailing Telephone | 9895836800 |
| Mailing Fax Number | 9895836915 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD20285 | ME | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
8060A | WY | Allopathic & Osteopathic Physicians |
| Street Address |
MMP ENDOCRINOLOGY & DIABETES CENTER 175 US ROUTE ONE |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-9308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942695093 | Rebecca Hillyer Leary | Internal Medicine | 175 Us Route 1, Scarborough, ME 04074-9048 | 2015-04-04 |
| 1134436165 | Metabolic Leader LLC | Internal Medicine | 51 Us Route 1 Ste H, Scarborough, ME 04074-7134 | 2010-09-13 |
| 1124344122 | Kiranjot Gujral | Internal Medicine | 175 Us Route One, Scarborough, ME 04074-9308 | 2010-04-15 |
| 1629235387 | Heidi Michelsen Golden | Internal Medicine | 175 Us Route 1, Scarborough, ME 04074-9048 | 2008-05-20 |
| 1598974891 | Rahfa K Zerikly | Internal Medicine | 175 Us Route 1, Scarborough, ME 04074-9048 | 2007-05-22 |
| 1316023302 | Christine Louise Twining | Internal Medicine | 175 Us Route 1, Maine Center for Endocrinology and Diabetes, Scarborough, ME 04074 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013327162 | Aaron Wade Barton | Internal Medicine | 885 Union St Ste 235, Bangor, ME 04401-3096 | 2014-04-29 |
| 1518254903 | Roger Scott Rittmaster | Internal Medicine | 42 William Glen Dr, Camden, ME 04843-4431 | 2011-07-06 |
| 1881876266 | Celeste Cheryll Lopez Quianzon | Internal Medicine | 46 Fairview Ave Ste 335, Skowhegan, ME 04976-1481 | 2007-11-28 |
| 1437138955 | Wesley P Fairfield | Internal Medicine | 144 State St Fl 4, Portland, ME 04101-3776 | 2006-01-12 |
| 1811985963 | David Rawson Hotelling | Internal Medicine | 477 Congress St, 5th Floor, Portland, ME 04101-3427 | 2005-10-12 |
| 1881092765 | St. Joseph Hospital | Internal Medicine | 360 Broadway, Bangor, ME 04401-3979 | 2014-12-09 |
| 1558637827 | Shazia Ahmad | Internal Medicine | 905 Union St Ste 11, Bangor, ME 04401-3039 | 2012-03-30 |
| 1750652822 | Poonam Khadka | Internal Medicine | 900 Broadway, Bangor, ME 04401-1900 | 2012-01-22 |
| 1699076133 | Mainehealth | Internal Medicine | 22 Bramhall St, Portland, ME 04102 | 2010-11-16 |
| 1184857203 | Rashid Cheema | Internal Medicine | 140 Academy St, Presque Isle, ME 04769-3102 | 2009-08-24 |
| Find all providers with the same taxonomy | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
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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.