Katherine Anastasia Diconzo (NPI# 1700380466, PAC ID# 6305100447) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700380466 |
| PAC ID by PECOS | 6305100447 |
| Professional Enrollment ID | I20180426000319 |
| Full Name | Katherine Anastasia Diconzo |
| Organization Legal Name | REHABILITATION ASSOCIATES |
| Address |
335 Brighton Ave Portland ME 04102-2363 |
| Phone Number | 2077754000 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466743992 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200009 | MAINE MEDICAL CENTER |
| 200021 | MID COAST HOSPITAL |
| 200019 | SOUTHERN MAINE HEALTH CARE |
| 200008 | MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 335 Brighton Ave, Portland, ME 04102-2363 | 2077754000 | REHABILITATION ASSOCIATES |
| Organization Legal Name | REHABILITATION ASSOCIATES |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred Fridman | Physical Medicine and Rehabilitation | Rehabilitation Associates | 630 Ocean Ave, Portland, ME 04103-2704 |
| Street Address |
335 BRIGHTON AVE |
| City | PORTLAND |
| State | ME |
| Zip | 04102-2363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria L Ashton | Physical Medicine and Rehabilitation | 335 Brighton Ave, Portland, ME 04102-2363 | |
| Gregory Y Blaisdell | Orthopedic Surgery | Maine Medical Partners | 335 Brighton Ave, Suite 200, Portland, ME 04102-2362 |
| Evan A Savage | Physical Medicine and Rehabilitation | Physical and Functional Medicine Incorporated | 335 Brighton Ave, Portland, ME 04102-2363 |
| Austin L Errico | Psychologist, Clinical | Neurobehavioral Services of New England, PC | 335 Brighton Ave, Suite 201, Portland, ME 04102-2365 |
| Cecily S Whiting | Emergency Medicine | Mainehealth | 335 Brighton Ave, Portland, ME 04102-0600 |
| Howard Kunin | Psychologist, Clinical | Neurobehavioral Services of New England, PC | 335 Brighton Ave, Suite 201, Portland, ME 04102-2365 |
| Andrei Zaslavsky | Hospitalist | 335 Brighton Ave, Portland, ME 04102-2363 | |
| Regina Marie Bowie | Nurse Practitioner | Physical and Functional Medicine Incorporated | 335 Brighton Ave, Portland, ME 04102-2363 |
| Cara M Orton | Clinical Psychologist | Neurobehavioral Services of New England, PC | 335 Brighton Ave, Suite 201, Portland, ME 04102-2365 |
| Paul B Gerrard | Physical Medicine and Rehabilitation | 335 Brighton Ave, Suite 201, Portland, ME 04102-2365 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Diane Grotton | Optometry | Cornerbrook Plaza Eye Care P A | 1040 Brighton Ave, Portland, ME 04102-1030 |
| Alexandra Rae Grotton | Optometry | Cornerbrook Plaza Eye Care P A | 1040 Brighton Ave, Portland, ME 04102-1030 |
| Peter E Hall | Optometry | Cornerbrook Plaza Eye Care P A | 1040 Brighton Ave, Portland, ME 04102-1030 |
| Jane D Mcnally | Hospitalist | 650 Brighton Ave, Portland, ME 04102-1035 | |
| Brianna Mcelligott | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
| Kevin T Baker | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
| Hannah Peabody | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
| Branden George | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
| Paul M Brown | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
| Casey S Estes | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
| Find all physicians in zip 04102 | |||
| City | PORTLAND |
| Zip Code | 04102 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORTLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Katherine Anastasia Diconzo.
| 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.