Mary Elsa J Theobald (NPI# 1356418685, PAC ID# 1254305188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356418685 |
| PAC ID by PECOS | 1254305188 |
| Professional Enrollment ID | I20040825000591 |
| Full Name | Mary Elsa J Theobald |
| Organization Legal Name | WALDO COUNTY GENERAL HOSPITAL |
| Address |
118 Northport Ave Belfast ME 04915-6029 |
| Phone Number | 2073382500 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2163332883 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201312 | WALDO COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 116 Northport Ave, Belfast, ME 04915-6029 | WALDO COUNTY GENERAL HOSPITAL | |
| 118 Northport Ave, Belfast, ME 04915-6029 | 2073382500 | WALDO COUNTY GENERAL HOSPITAL |
| 16 Fahey St, Belfast, ME 04915-6029 | WALDO COUNTY GENERAL HOSPITAL |
| Organization Legal Name | WALDO COUNTY GENERAL HOSPITAL |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin B Mailloux | Family Practice | Waldo County General Hospital | 116 Northport Ave, Suite 220, Belfast, ME 04915-6029 |
| Damon M Jordan | Physician Assistant | Waldo County General Hospital | 16 Fahey St, Belfast, ME 04915-6029 |
| Matthew S Molison | Family Practice | Waldo County General Hospital | 16 Fahey St, Belfast, ME 04915-6029 |
| James A Stevenson | Neurology | Waldo County General Hospital | 16 Fahey St, Belfast, ME 04915-6029 |
| Bruce A Lastra | Obstetrics/gynecology | Waldo County General Hospital | 16 Fahy St, Suite 108, Belfast, ME 04915-6029 |
| Steven G Wilson | Family Practice | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Jeffrey Newsom | Family Practice | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Daniel J Hebert | Orthopedic Surgery | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Dorothy A Carin | Family Practice | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Annie J Wilson | Nurse Practitioner | Waldo County General Hospital | 118 Northport Ave, Belfast, ME 04915-6029 |
| Street Address |
118 NORTHPORT AVE |
| City | BELFAST |
| State | ME |
| Zip | 04915-6029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Richard Grotz | Diagnostic Radiology | Belfast Bay Radiology, Pa | 118 Northport Ave, Belfast, ME 04915-6009 |
| Roy M Kaplan | Anesthesiology | Mainehealth | 118 Northport Ave, Waldo County General Hospital, Belfast, ME 04915-6029 |
| John T Jones | Diagnostic Radiology | Belfast Bay Radiology, Pa | 118 Northport Ave, Belfast, ME 04915-6009 |
| Rishi D Ramkissoon | Hospitalist | Mainehealth | 118 Northport Ave, Waldo County General Hospital, Belfast, ME 04915-6029 |
| Nancy E Webb | Diagnostic Radiology | Belfast Bay Radiology, Pa | 118 Northport Ave, Belfast, ME 04915-6009 |
| Annie J Wilson | Nurse Practitioner | Waldo County General Hospital | 118 Northport Ave, Belfast, ME 04915-6029 |
| Louis M Lavender | Obstetrics/gynecology | Waldo County General Hospital | 118 Northport Ave, Belfast, ME 04915-6029 |
| Paula H Cookson | Clinical Social Worker | Waldo County General Hospital | 118 Northport Ave, Belfast, ME 04915-6029 |
| Ronald E Cormier | Nurse Practitioner | Waldo County General Hospital | 118 Northport Ave, Belfast, ME 04915-6029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen J Young | Emergency Medicine | 75 Northport Ave, Belfast, ME 04915-6000 | |
| David A Thanhauser | Family Practice | 75 Northport Ave, Belfast, ME 04915-6000 | |
| Barbara Payson Oberg-higgins | Nephrology | Mainehealth | 125 Northport Ave, Wcmp Nephrology, Belfast, ME 04915-6002 |
| Thomas R Maycock | Family Practice | Thomas R. Maycock | 9 Fahey St, Belfast, ME 04915-6028 |
| Heather M Ward | Family Medicine | Mainehealth | 9 Fahy St, Belfast, ME 04915-6028 |
| Robert E Grondahl | Obstetrics/gynecology | Mainehealth | 16 Fahy St, Suite 108, Belfast, ME 04915-6029 |
| James C Delehanty | Internal Medicine | 16 Fahey St, Suite 208, Belfast, ME 04915-6029 | |
| Benjamin B Mailloux | Family Practice | Waldo County General Hospital | 116 Northport Ave, Suite 220, Belfast, ME 04915-6029 |
| Damon M Jordan | Physician Assistant | Waldo County General Hospital | 16 Fahey St, Belfast, ME 04915-6029 |
| Matthew S Molison | Family Practice | Waldo County General Hospital | 16 Fahey St, Belfast, ME 04915-6029 |
| Find all physicians in zip 04915 | |||
| City | BELFAST |
| Zip Code | 04915 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BELFAST + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Elsa J Theobald.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.