ELISABETH W. DEERAN


Address: 84 Marginal Way, Suite 900, Portland, ME 04101
Phone: 2078742445

ELISABETH W. DEERAN (NPI# 1992125785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992125785
Entity Type Individual
Full Name ELISABETH W. DEERAN
Credential MD
Practice Address 84 Marginal Way
Suite 900
Portland
ME 04101
Mailing Address 100 Gannett Drive
Suite C
South Portland
ME 04106-5900
Practice Telephone 2078742445
Practice Fax Number 2075238598
Mailing Telephone 2078280361
Mailing Fax Number 2078741483
Enumeration Date 2014-04-21
Last Update Date 2020-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology MD23051 ME Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
13001 E. 17th Place, University of Colorado School of Medicine Gme, Aurora, CO 800452581 3037242052 3037242055

Office Location

Street Address 84 MARGINAL WAY
SUITE 900
City PORTLAND
State ME
Zip Code 04101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225009830 Suzanne O Dater Internal Medicine 84 Marginal Way, Suite 800, Portland, ME 04101 2006-01-31
1255817490 Kayla R. Sirard Physician Assistant 84 Marginal Way, Portland, ME 04101 2018-07-11
1104370980 Meagan Schmersal Nurse Practitioner 84 Marginal Way, Suite 700, Portland, ME 04101 2016-08-09
1265895502 Sean R Lena Internal Medicine 84 Marginal Way, Portland, ME 04101 2016-04-04
1720441595 Kasey R. Little Internal Medicine 84 Marginal Way, Portland, ME 04101-2443 2016-03-30
1588040158 Jennifer L Steffen Nurse Practitioner 84 Marginal Way, Suite 900, Portland, ME 04101-2443 2015-08-06
1487037966 Lauren Shumeyko Nurse Practitioner 84 Marginal Way, Portland, ME 04101-2443 2015-07-02
1386026771 Joan Kallin Newton Nurse Practitioner 84 Marginal Way, Suite 700, Portland, ME 04101-2443 2015-06-23
1336538198 Intermed, Pa Obstetrics & Gynecology 84 Marginal Way, Portland, ME 04101-2443 2015-01-16
1285046144 Julie B. Dark Pediatrics 84 Marginal Way, Portland, ME 04101-2443 2014-05-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1255963559 Portcity Home Healthcare LLC In Home Supportive Care 525 Forest Avenue, Suite 8, Portland, ME 04101 2020-02-05
1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215396676 Hanalore Griffiths Obstetrics & Gynecology 11750 Sw Barnes Rd Ste 300, Portland, OR 97225-5911 2016-02-14
1487057790 William Russell Greene Obstetrics & Gynecology 2239 Ne 19th Ave, Portland, OR 97212-4616 2014-09-30
1538587654 Gene De Haan Obstetrics & Gynecology 3350 N Interstate Ave, Obstretrics and Gynecology, Portland, OR 97227-3011 2014-04-04
1043650682 Tuesday Elizabeth Pearson Obstetrics & Gynecology 2332 Nw Irving St., Portland, OR 97210 2013-06-27
1760820385 John Ogorek Obstetrics & Gynecology 100 Brickhill Ave Ste 23, Portland, ME 04106-1999 2013-06-05
1841557170 Eleonore Pettit Werner Obstetrics & Gynecology 84 Marginal Way Ste 900, Portland, ME 04101-2476 2012-04-11
1508152026 Kelli Andersen Obstetrics & Gynecology 10000 Se Main St Ste 10, Portland, OR 97216-2441 2011-06-22
1831494087 Katie Alton Obstetrics & Gynecology 3181 Sw Sam Jackson Park Rd # Uhn50, Portland, OR 97239-3011 2011-01-20
1386955037 Chidimma Uche Abanulo Obstetrics & Gynecology 9701 Sw Banes Rd, Suite 150, Portland, OR 97225 2010-06-28
1982920393 Leo Liu Han Obstetrics & Gynecology 3181 Sw Sam Jackson Park Road, Mailcode: L466, Oregon Health and Science University, Portland, OR 80045 2010-04-09
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City PORTLAND
Zip Code 04101

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Dataset Information

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.

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