SHIELDS PET/CT AT CMMC, LLC (NPI# 1982153052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982153052 |
| Entity Type | Organization |
| Organization Name | SHIELDS PET/CT AT CMMC, LLC |
| Practice Address |
300 Main St Lewiston ME 04240-7027 |
| Mailing Address |
55 Christy Dr Brockton MA 02301-1813 |
| Practice Telephone | 8662584738 |
| Practice Fax Number | 8666624700 |
| Mailing Telephone | 8002584674 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | MR. THOMAS A SHIELDS (CEO) |
| Authorized Official Telephone | 6173767400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245727296 | Shields Pet/ct At Cmmc, LLC | Clinic/Center | 105 Topsham Fair Mall Rd, Topsham, ME 04086-1773 | 2018-04-16 |
| Street Address |
300 MAIN ST |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492865 | Maya K Ahluwalia | Physical Therapist | 300 Main St, Lewiston, ME 04240-7027 | 2020-09-23 |
| 1811519788 | Daniel Shaw | Dietitian, Registered | 300 Main St, Lewiston, ME 04240-7027 | 2020-05-13 |
| 1801427232 | Denise Tso | Physical Therapist | 300 Main St, Lewiston, ME 04240-7027 | 2020-02-04 |
| 1548891237 | Ellen Shrader | Dietitian, Registered | 300 Main St, Lewiston, ME 04240-7027 | 2020-01-31 |
| 1588295828 | Allison Bruno | Dietitian, Registered | 300 Main St, Lewiston, ME 04240-7027 | 2020-01-27 |
| 1578119335 | Chelsea Brown | Physician Assistant | 300 Main St, Lewiston, ME 04240-7027 | 2019-08-16 |
| 1316506017 | Joshua Robert Browning | Physician Assistant | 300 Main St, Lewiston, ME 04240-7027 | 2019-06-07 |
| 1457813313 | Jennifer Dewilde Caswell | Occupational Therapist | 300 Main St, Lewiston, ME 04240-7027 | 2019-04-01 |
| 1124592621 | Emile Thomas Castonguay | Occupational Therapist | 300 Main St, Lewiston, ME 04240-7027 | 2019-01-17 |
| 1841763182 | Macey Nicole Berube | Physical Therapist | 300 Main St, Dept of Physical Therapy, Lewiston, ME 04240-7041 | 2019-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730408170 | Alliance Healthcare Services Inc | Clinic/Center | 1702 16th St, Lewiston, ID 83501-3911 | 2010-05-25 |
| 1982649158 | New England Molecular Imaging LLC | Clinic/Center | 300 Main St, Lewiston, ME 04240-7007 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380925 | Pdi Health Me LLC | Clinic/Center | 45 Portland Rd, Kennebunk, ME 04043-6660 | 2020-06-11 |
| 1740563428 | Insight-premier Health LLC | Clinic/Center | 27 Bowdoin Street, Manchester, ME 04351 | 2011-09-20 |
| 1720166697 | New England Mobile X-ray | Clinic/Center | 891 Brighton Ave, Suite 3, Portland, ME 04102-1056 | 2006-11-01 |
| 1427061969 | Introspective Imaging Inc. | Clinic/Center | 29 Crossing Brook Rd, Cumberland, ME 04021-4123 | 2006-08-14 |
| 1245727296 | Shields Pet/ct At Cmmc, LLC | Clinic/Center | 105 Topsham Fair Mall Rd, Topsham, ME 04086-1773 | 2018-04-16 |
| 1750828539 | Shields Imaging At York Hospital LLC | Clinic/Center | 114 Sanford Rd, Wells, ME 04090-5533 | 2017-01-31 |
| 1902100555 | Insight Premier Health | Clinic/Center | 51 Us Route 1, Suite O, Scarborough, ME 04074-7158 | 2010-12-22 |
| 1730122508 | New England Molecular Imaging LLC | Clinic/Center | 15 Hospital Dr, York, ME 03909-1011 | 2006-06-13 |
Please comment or provide details below to improve the information on SHIELDS PET/CT AT CMMC, LLC.
| 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.