Orville A Hartford (NPI# 1053437780, PAC ID# 5496800625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1053437780 |
| PAC ID by PECOS | 5496800625 |
| Professional Enrollment ID | I20090911000208 |
| Full Name | Orville A Hartford |
| Organization Legal Name | PENOBSCOT VALLEY DERMATOLOGY, P.A. |
| Address |
381 Main St Orono ME 04473-3446 |
| Phone Number | 2079420669 |
| Gender | M |
| Medical School | DARTMOUTH MEDICAL SCHOOL |
| Graduation Year | 2005 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7315092541 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200001 | ST JOSEPH HOSPITAL |
| 200033 | EASTERN MAINE MEDICAL CENTER |
| 200050 | MAINE COAST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 381 Main St, Orono, ME 04473-3446 | 2079420669 | PENOBSCOT VALLEY DERMATOLOGY, P.A. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 100% |
| Organization Legal Name | PENOBSCOT VALLEY DERMATOLOGY, P.A. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faith Whalen | Dermatology | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Linda L Mcdougall | Nurse Practitioner | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Jaymie Fe P Panuncialman | Dermatology | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Amy C Sim | Nurse Practitioner | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Carolyn L Ellis | Dermatology | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Samantha Mitchell | Nurse Practitioner | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Holly L Haeberlein | Nurse Practitioner | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Street Address |
381 MAIN ST |
| City | ORONO |
| State | ME |
| Zip | 04473-3446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Field | Physical Therapy | Village Physical Therapy Inc | 381 Main St, Suite 1, Gorham, ME 04038-1361 |
| Faith Whalen | Dermatology | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Linda L Mcdougall | Nurse Practitioner | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Michael E Smith | Physical Therapy | Village Physical Therapy Inc | 381 Main St, Suite 1, Gorham, ME 04038-1361 |
| Jaymie Fe P Panuncialman | Dermatology | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Amy C Sim | Nurse Practitioner | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Carolyn L Ellis | Dermatology | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Samantha Mitchell | Nurse Practitioner | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Holly L Haeberlein | Nurse Practitioner | Penobscot Valley Dermatology, P.a. | 381 Main St, Orono, ME 04473-3446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Lackie | Clinical Social Worker | 56 Taylor Rd, Orono, ME 04473-3205 | |
| Joye M Jewell - Hill | Nurse Practitioner | Eastern Maine Medical Center | 84 Kelley Rd, Orono, ME 04473-3416 |
| Laurie E Yntema | Internal Medicine | Penobscot Community Health Center | 9 Alumni Dr, Orono, ME 04473-3479 |
| Celeste C Jenks | Chiropractic | Orono Chiropractic Pa | 15 Forest Ave, Orono, ME 04473-3652 |
| Stephen Tg Arsenault | Chiropractic | Orono Chiropractic Pa | 15 Forest Ave, Orono, ME 04473-3652 |
| Summer R J Sunderland | Clinical Social Worker | 97 Forest Ave, Orono, ME 04473-3653 | |
| Sean R Kull | Optometry | 2 Sylvan Rd, Orono, ME 04473-3697 | |
| Nancy L Rampe | Clinical Social Worker | 69 Main St, Orono, ME 04473-4002 | |
| Charles D Hanson | Psychiatry | 52 Park St, Orono, ME 04473-4406 |
| City | ORONO |
| Zip Code | 04473 |
| Specialty | DERMATOLOGY |
| City + Specialty | ORONO + DERMATOLOGY |
Please comment or provide details below to improve the information on Orville A Hartford.
| 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.