RANDA JABER (NPI# 1972815165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972815165 |
| Entity Type | Individual |
| Full Name | RANDA JABER |
| Credential | MD |
| Practice Address |
46 Fairview Ave Suite 111 Skowhegan ME 04976-1481 |
| Mailing Address |
Po Box 468 Skowhegan ME 04976-0468 |
| Practice Telephone | 2074740905 |
| Practice Fax Number | 2074746930 |
| Mailing Telephone | 2078588353 |
| Mailing Fax Number | 2074749261 |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2015-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD19971 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1972815167 | 05 |
| Street Address |
46 FAIRVIEW AVE SUITE 111 |
| City | SKOWHEGAN |
| State | ME |
| Zip Code | 04976-1481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367995 | Jean S Benson | Emergency Medicine | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2005-06-21 |
| 1700408317 | Ann Catherine Boss | Physician Assistant | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2020-05-18 |
| 1437715943 | Stephen Arnold | Physician Assistant | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2019-05-10 |
| 1891283982 | Kelsey Elizabeth Audie | Registered Nurse | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2018-04-25 |
| 1972025773 | Andrew Bray | Family Medicine | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2017-07-13 |
| 1124540042 | Mariano Antonio Toledo Saldarriaga | Internal Medicine | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2017-07-12 |
| 1679093538 | Setha Wade Carbee | Physician Assistant | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2017-06-22 |
| 1568992196 | Samantha Sue Stanfield | Physician Assistant | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2017-06-15 |
| 1558714576 | Kassy Baig | Nurse Practitioner | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2016-07-14 |
| 1942650809 | Shamano Minhas | Family Medicine | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2016-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625573 | Alexander Jacob Tyburski | Dentist | 327 North Avenue, Skowhegan, ME 04976 | 2020-06-30 |
| 1033574348 | Northwoods Dental LLC | Dentist | 327 North Ave, Skowhegan, ME 04976 | 2015-12-31 |
| 1073988010 | Elizabeth Ann Corbin | Social Worker | 60 Water Street; Suite 202, Skowhegan, ME 04976 | 2015-12-02 |
| 1861875411 | Rebecca J. Dillingham | Registered Nurse | 1074 Canaan Road, Skowtogan, ME 04976 | 2015-07-01 |
| 1972915411 | Elisa Maria Diaz | Family Medicine | 46 Fairview Ave # 111, Skowhegan, ME 04976 | 2014-06-02 |
| 1215289277 | Alicia Bedard | Social Worker | 5 Commerce Drive, Skowhegan, ME 04976 | 2012-10-15 |
| 1942497276 | Betsy Belanger | Occupational Therapist | 23 Cedar Ridge Drive, Skowhegan, ME 04976 | 2007-10-01 |
| 1033322920 | Msad #54 | Local Education Agency (LEA) | 199 West Front Street, Skowhegan, ME 04976 | 2007-05-07 |
| 1063632263 | Shirley A Manzer | Case Manager/Care Coordinator | 78 Madison Ave, Skowhegan, ME 04976 | 2007-04-27 |
| 1275750259 | Elizabeth Doucette | Specialist | 220 Madsion Ave., Skowhegan, ME 04976 | 2007-04-19 |
| Find all providers in zip 04976 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1851327936 | Mark Braun | Internal Medicine | 306 Us Route 1 Ste C1, Scarborough, ME 04074-7640 | 2006-06-23 |
| 1720022536 | George N Morrissette | Internal Medicine | 140 Russell St, Lewiston, ME 04240-6026 | 2006-06-15 |
| 1578518106 | Izabela Sabina Lutostanska | Internal Medicine | Togus Road, Togus Va Hospital, Augusta, ME 04330 | 2006-05-23 |
| 1780994194 | Rohit Gautam | Internal Medicine | 4 Main St, Van Buren, ME 04785-1009 | 2010-10-19 |
| 1053593962 | Karen E. Saylor | Internal Medicine | 50 Marquis Rd, Freeport, ME 04032-6477 | 2007-12-03 |
| 1073736229 | Roland H. Knausenberger, M.d. Pa | Internal Medicine | 180 Kennedy Memorial Dr, Suite 202, Waterville, ME 04901-4540 | 2007-04-10 |
| 1649363805 | Jabbar Fazeli | Internal Medicine | 1321 Washington Ave, Suite 310, Portland, ME 04103-3636 | 2006-10-02 |
| 1699868158 | Heidi R Wierman | Internal Medicine | 22 Bramhall St., Portland, ME 04102 | 2006-10-02 |
| 1952406308 | Roland H Knausenberger | Internal Medicine | 180 Kennedy Memorial Drive, Ste 202, Waterville, ME 04901 | 2006-09-13 |
| 1326156605 | Jabbar Fazeli Md Maine Geriatrics | Internal Medicine | 1321 Washington Ave, Suite 310, Portland, ME 04103-3636 | 2006-08-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RANDA JABER.
| 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.