| Maine Medical Partners Family Medicine | |
|
300 Professional Dr Scarborough ME 04074-8433 | |
| (207) 883-3491 | |
| Not Available |
| Full Name | Maine Medical Partners Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Professional Dr, Scarborough, Maine |
| Authorized Official Name and Position | Stephen J Kasabian (PRESIDENT) |
| Authorized Official Contact | 2076612000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maine Medical Partners Family Medicine 300 Southborough Dr Suite 201 South Portland ME 04106-6914 Ph: (207) 661-2000 | Maine Medical Partners Family Medicine 300 Professional Dr Scarborough ME 04074-8433 Ph: (207) 883-3491 |
| NPI Number | 1467477349 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 12/13/2022 |
| Medicare PECOS PAC ID | 9335043967 |
|---|---|
| Medicare Enrollment ID | O20031125000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467477349 | NPI | - | NPPES |
| 119910013 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Maine) | Primary |
| Provider Name | Sheila Gerry Pinette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801938220 PECOS PAC ID: 4789596487 Enrollment ID: I20031103000194 |
| Provider Name | Alison M Samitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336242585 PECOS PAC ID: 0648184671 Enrollment ID: I20031114000206 |
| Provider Name | Joseph T Degrinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538106679 PECOS PAC ID: 2567355852 Enrollment ID: I20040202000986 |
| Provider Name | Stephen J Kirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093747628 PECOS PAC ID: 7416851043 Enrollment ID: I20040206000603 |
| Provider Name | Jeffrey P Maher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699886051 PECOS PAC ID: 6002700622 Enrollment ID: I20040212000689 |
| Provider Name | Jeffrey J Aalberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669400222 PECOS PAC ID: 4981593860 Enrollment ID: I20040312000277 |
| Provider Name | Christina T Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912935339 PECOS PAC ID: 3779574579 Enrollment ID: I20040520000859 |
| Provider Name | Lisa M Belisle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629131685 PECOS PAC ID: 0446231591 Enrollment ID: I20040526000161 |
| Provider Name | Ralph W Thieme |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1710963434 PECOS PAC ID: 9638150048 Enrollment ID: I20040601000023 |
| Provider Name | John S Pulvino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780614842 PECOS PAC ID: 4688658008 Enrollment ID: I20040615000244 |
| Provider Name | Kristin Jhamb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598771297 PECOS PAC ID: 6305820143 Enrollment ID: I20040617000904 |
| Provider Name | Nicole Cherbuliez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932293578 PECOS PAC ID: 0840277455 Enrollment ID: I20040701000907 |
| Provider Name | Kristen A Sciacca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407942980 PECOS PAC ID: 2961481056 Enrollment ID: I20040714000072 |
| Provider Name | Michael Pinette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063443836 PECOS PAC ID: 4688586381 Enrollment ID: I20040724000080 |
| Provider Name | Jacey E Goddard |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1073569216 PECOS PAC ID: 8224008784 Enrollment ID: I20040730000602 |
| Provider Name | Theresa L Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326172958 PECOS PAC ID: 4587634951 Enrollment ID: I20040731000161 |
| Provider Name | Mark P Bouchard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023040656 PECOS PAC ID: 2567436264 Enrollment ID: I20040819001113 |
| Provider Name | Joseph Wax |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609926930 PECOS PAC ID: 5294701827 Enrollment ID: I20040907000074 |
| Provider Name | Katherine A Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154390847 PECOS PAC ID: 2567427537 Enrollment ID: I20041201000688 |
| Provider Name | Christine M Freme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225123524 PECOS PAC ID: 6507807674 Enrollment ID: I20050518001203 |
| Provider Name | Craig D Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992808133 PECOS PAC ID: 4587606678 Enrollment ID: I20050531000263 |
| Provider Name | Stephen M Donnelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063505782 PECOS PAC ID: 0749222693 Enrollment ID: I20050601000633 |
| Provider Name | Eric Mukai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750310611 PECOS PAC ID: 4284677097 Enrollment ID: I20050602000841 |
| Provider Name | Cindy Boyack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558470781 PECOS PAC ID: 5698718278 Enrollment ID: I20050606000039 |
| Provider Name | Kathleen M Fairfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992744353 PECOS PAC ID: 4183667454 Enrollment ID: I20050607001199 |
| Provider Name | William W Dexter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396739520 PECOS PAC ID: 2365485687 Enrollment ID: I20050608000198 |
| Provider Name | Debra A Rothenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245265776 PECOS PAC ID: 7810930963 Enrollment ID: I20050609000112 |
| Provider Name | Christopher A Wellins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053407601 PECOS PAC ID: 5991749897 Enrollment ID: I20050613000188 |
| Provider Name | Charles M Belisle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932144151 PECOS PAC ID: 5395789200 Enrollment ID: I20050613000306 |
| Provider Name | John E Erickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043289713 PECOS PAC ID: 7012951700 Enrollment ID: I20050614000448 |
| Provider Name | Kathleen A Mcgarr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962432203 PECOS PAC ID: 0648215376 Enrollment ID: I20050623000278 |
| Provider Name | Tina M Piraino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841221629 PECOS PAC ID: 8325083892 Enrollment ID: I20050624000459 |
| Provider Name | Scott M Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760584007 PECOS PAC ID: 1850336363 Enrollment ID: I20050624000816 |
| Provider Name | Peggy R Cyr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760584767 PECOS PAC ID: 0042255358 Enrollment ID: I20050627000640 |
| Provider Name | Paul B Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871673574 PECOS PAC ID: 9133165327 Enrollment ID: I20050628000812 |
| Provider Name | Jennifer G Aronson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538200951 PECOS PAC ID: 5698711893 Enrollment ID: I20050628000893 |
| Provider Name | Benedict J Farino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104912864 PECOS PAC ID: 1850337619 Enrollment ID: I20050701000082 |
| Provider Name | Victoria M Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699894006 PECOS PAC ID: 5890721534 Enrollment ID: I20050713000813 |
| Provider Name | John R Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861426272 PECOS PAC ID: 5991732018 Enrollment ID: I20050720000851 |
| Provider Name | Stephen R Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255369575 PECOS PAC ID: 9133156276 Enrollment ID: I20050720000972 |
| Provider Name | Thomas P Gearan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518073170 PECOS PAC ID: 8325012701 Enrollment ID: I20050729000509 |
| Provider Name | Eileen M Poulin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124146923 PECOS PAC ID: 7214967264 Enrollment ID: I20050818000840 |
| Provider Name | Marie Pedersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033234224 PECOS PAC ID: 8022049766 Enrollment ID: I20050823000531 |
| Provider Name | Rebecca B Hemphill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245268903 PECOS PAC ID: 9032140140 Enrollment ID: I20050829000748 |
| Provider Name | Gregg M Raymond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821184532 PECOS PAC ID: 7012942279 Enrollment ID: I20050927001180 |
| Provider Name | Tevis H Gearan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205942877 PECOS PAC ID: 8224020441 Enrollment ID: I20050928001155 |
| Provider Name | Donald J Medd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902810294 PECOS PAC ID: 3870528136 Enrollment ID: I20051005000806 |
| Provider Name | Dale T Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467574772 PECOS PAC ID: 3971524448 Enrollment ID: I20051212000746 |
| Provider Name | Catherine A Clement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437139698 PECOS PAC ID: 9133136153 Enrollment ID: I20060316000332 |
| Provider Name | Karen K Emery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679559397 PECOS PAC ID: 1153331301 Enrollment ID: I20060502000670 |
| Provider Name | Kristen B Silvia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538103478 PECOS PAC ID: 3779580139 Enrollment ID: I20061026000445 |
| Provider Name | Joel Guarna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376501833 PECOS PAC ID: 7113968074 Enrollment ID: I20070307000023 |
| Provider Name | Melanie P Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700953015 PECOS PAC ID: 1456452234 Enrollment ID: I20070724000076 |
| Provider Name | Tiffany P Segre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437227378 PECOS PAC ID: 6002908324 Enrollment ID: I20070816000356 |
| Provider Name | Brett Loffredo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295809911 PECOS PAC ID: 0547352866 Enrollment ID: I20070816000362 |
| Provider Name | Emily B Cashman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447448436 PECOS PAC ID: 5890878748 Enrollment ID: I20080215000036 |
| Provider Name | Jill M Kerekes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992728323 PECOS PAC ID: 6507897907 Enrollment ID: I20080225000138 |
| Provider Name | Pamela M Dietz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063515146 PECOS PAC ID: 1951471614 Enrollment ID: I20080721000787 |
| Provider Name | Peter G Amann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639107840 PECOS PAC ID: 5698848596 Enrollment ID: I20080725000427 |
| Provider Name | Theodore R Wissink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124193503 PECOS PAC ID: 5890869770 Enrollment ID: I20080812000033 |
| Provider Name | Rebecca C Hunt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295804896 PECOS PAC ID: 6406923713 Enrollment ID: I20080927000144 |
| Provider Name | Joanna G Streeter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568658466 PECOS PAC ID: 1557421625 Enrollment ID: I20081119000233 |
| Provider Name | Lori-ann Gato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356454573 PECOS PAC ID: 3971663063 Enrollment ID: I20090107000233 |
| Provider Name | Danielle M Senecal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689636136 PECOS PAC ID: 4284783648 Enrollment ID: I20090514000508 |
| Provider Name | Fred E Emerson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487722278 PECOS PAC ID: 7113079799 Enrollment ID: I20090713000107 |
| Provider Name | Elizabeth B Eisenhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194893982 PECOS PAC ID: 9830244672 Enrollment ID: I20090901000108 |
| Provider Name | Amy N Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063745735 PECOS PAC ID: 0143361907 Enrollment ID: I20091231000120 |
| Provider Name | Jeffrey M Saffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700824240 PECOS PAC ID: 8729079991 Enrollment ID: I20100216000610 |
| Provider Name | Gail M Libby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659438331 PECOS PAC ID: 5991840894 Enrollment ID: I20100303000559 |
| Provider Name | Toby M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043389745 PECOS PAC ID: 2062604267 Enrollment ID: I20101006000748 |
| Provider Name | Carly S Mcateer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699974311 PECOS PAC ID: 3971796228 Enrollment ID: I20101020000037 |
| Provider Name | Donna C Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194897801 PECOS PAC ID: 1557541836 Enrollment ID: I20110203000194 |
| Provider Name | Eric S Haskell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770742439 PECOS PAC ID: 0648449769 Enrollment ID: I20110808000058 |
| Provider Name | Ellis A Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215196985 PECOS PAC ID: 7113196064 Enrollment ID: I20110809000905 |
| Provider Name | Candice Dersch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437358157 PECOS PAC ID: 3971772690 Enrollment ID: I20110812000471 |
| Provider Name | Kathryn M Diamond-falk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306045034 PECOS PAC ID: 8224209465 Enrollment ID: I20110920000852 |
| Provider Name | Jennifer D Mora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164651261 PECOS PAC ID: 6305019027 Enrollment ID: I20111025000603 |
| Provider Name | Andrea Truncali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205814050 PECOS PAC ID: 0244258358 Enrollment ID: I20111206000198 |
| Provider Name | Catherine R Fredricks-rehagen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821257650 PECOS PAC ID: 2264609163 Enrollment ID: I20120117000845 |
| Provider Name | Joanna E Rulf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629202676 PECOS PAC ID: 1759539505 Enrollment ID: I20120919000785 |
| Provider Name | Nicoleta Toma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881823391 PECOS PAC ID: 2860640646 Enrollment ID: I20120920000127 |
| Provider Name | Claire S Danby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710146527 PECOS PAC ID: 1951551506 Enrollment ID: I20121017000488 |
| Provider Name | Randolph S Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639337496 PECOS PAC ID: 3173712957 Enrollment ID: I20121022000042 |
| Provider Name | Kristen A Scopaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114171857 PECOS PAC ID: 6305097825 Enrollment ID: I20121109000505 |
| Provider Name | Kelly L Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699023432 PECOS PAC ID: 2062663164 Enrollment ID: I20121120000243 |
| Provider Name | Amy M Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225107519 PECOS PAC ID: 1052563897 Enrollment ID: I20121130000502 |
| Provider Name | Chelsea C Ginn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689923104 PECOS PAC ID: 8224280466 Enrollment ID: I20121214000193 |
| Provider Name | Elizabeth A Frutiger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073596672 PECOS PAC ID: 1557397932 Enrollment ID: I20130808000127 |
| Provider Name | Julia Brock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285688937 PECOS PAC ID: 3779566245 Enrollment ID: I20130912000123 |
| Provider Name | Christina M Dematteo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033438254 PECOS PAC ID: 6204070279 Enrollment ID: I20130912000300 |
| Provider Name | Christian Garfield Litton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639339237 PECOS PAC ID: 4284773508 Enrollment ID: I20130917000037 |
| Provider Name | Charles J Mallo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063611788 PECOS PAC ID: 3173777547 Enrollment ID: I20131002000083 |
| Provider Name | Jennifer K Deane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265865323 PECOS PAC ID: 7517195852 Enrollment ID: I20140114000768 |
| Provider Name | John J Lowery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770879520 PECOS PAC ID: 5698905032 Enrollment ID: I20140304000036 |
| Provider Name | Caitlin E Willard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912227604 PECOS PAC ID: 0648404335 Enrollment ID: I20140402001990 |
| Provider Name | Chloe G Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609298447 PECOS PAC ID: 2860615895 Enrollment ID: I20140520002677 |
| Provider Name | Benjamin Paul Hagopian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184919193 PECOS PAC ID: 0143454959 Enrollment ID: I20140710000995 |
| Provider Name | Amanda K Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790005742 PECOS PAC ID: 3072739010 Enrollment ID: I20140728000906 |
| Provider Name | Katelyn Mp Lovely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922383330 PECOS PAC ID: 0446405815 Enrollment ID: I20140818001851 |
| Provider Name | Christine M Stam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457785578 PECOS PAC ID: 1557685104 Enrollment ID: I20150130001103 |
| Provider Name | Stephen S Digiovanni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649365016 PECOS PAC ID: 7517282163 Enrollment ID: I20150203000550 |
| Provider Name | Krystian W Bigosinski |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245450832 PECOS PAC ID: 3375680010 Enrollment ID: I20150303001291 |
| Provider Name | Heather M Gillespie |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1861561581 PECOS PAC ID: 1557457512 Enrollment ID: I20150309002313 |
| Provider Name | Lori Axelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578984142 PECOS PAC ID: 0042539090 Enrollment ID: I20150424001750 |
| Provider Name | Ingrid E Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952696973 PECOS PAC ID: 4981838653 Enrollment ID: I20150430000497 |
| Provider Name | Dayle R Dewey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669568184 PECOS PAC ID: 5597086637 Enrollment ID: I20150602000784 |
| Provider Name | Ellen H Theodores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801197827 PECOS PAC ID: 5698096576 Enrollment ID: I20150603002417 |
| Provider Name | Kelley E Conroy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619130275 PECOS PAC ID: 2769631472 Enrollment ID: I20150701000368 |
| Provider Name | Nicole M Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275931388 PECOS PAC ID: 3274846431 Enrollment ID: I20150716001644 |
| Provider Name | Anastasia R Norman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073833703 PECOS PAC ID: 8022242791 Enrollment ID: I20150717001944 |
| Provider Name | Alison N Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578825352 PECOS PAC ID: 7911131743 Enrollment ID: I20150729008024 |
| Provider Name | Caitlin Costigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740662832 PECOS PAC ID: 4981918653 Enrollment ID: I20150810000562 |
| Provider Name | Kohar Dersimonian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538334594 PECOS PAC ID: 1951455625 Enrollment ID: I20150810002080 |
| Provider Name | Jonathan C Fellers |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1508091281 PECOS PAC ID: 6608021332 Enrollment ID: I20150831000427 |
| Provider Name | Robert A Fulton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023375953 PECOS PAC ID: 8820243322 Enrollment ID: I20150903000645 |
| Provider Name | Marshall R Chamberlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003044488 PECOS PAC ID: 8426206863 Enrollment ID: I20151022001228 |
| Provider Name | Kathryn M Brouillette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881980332 PECOS PAC ID: 0143456244 Enrollment ID: I20151203002044 |
| Provider Name | Emily J Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609246834 PECOS PAC ID: 7214238997 Enrollment ID: I20151222002314 |
| Provider Name | Elizabeth Sutcliffe Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558733899 PECOS PAC ID: 6406159144 Enrollment ID: I20160129001111 |
| Provider Name | Mikayla K Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417318742 PECOS PAC ID: 7113218702 Enrollment ID: I20160629001975 |
| Provider Name | Caroline E Foust-wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669606521 PECOS PAC ID: 6204064322 Enrollment ID: I20160822000659 |
| Provider Name | Lindsey L Clement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754947 PECOS PAC ID: 9032406954 Enrollment ID: I20160921000296 |
| Provider Name | Eliza R Bullis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518257682 PECOS PAC ID: 0244544922 Enrollment ID: I20160921000492 |
| Provider Name | Adriana C Isacke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316208762 PECOS PAC ID: 2163656950 Enrollment ID: I20161005002585 |
| Provider Name | Katherine T Liu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891056149 PECOS PAC ID: 1557595337 Enrollment ID: I20161018000417 |
| Provider Name | Scott P Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992048334 PECOS PAC ID: 9830326552 Enrollment ID: I20161026001932 |
| Provider Name | Brigitte Salembier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457797235 PECOS PAC ID: 0042452211 Enrollment ID: I20161102002011 |
| Provider Name | Nicole C. Guite |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568758852 PECOS PAC ID: 2860661220 Enrollment ID: I20161115001275 |
| Provider Name | Kathleen E Brennan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922444900 PECOS PAC ID: 4284876590 Enrollment ID: I20161121001155 |
| Provider Name | Carol L Squires |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942546254 PECOS PAC ID: 9133401102 Enrollment ID: I20170127000141 |
| Provider Name | Theresa M Roelke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720525447 PECOS PAC ID: 0749563682 Enrollment ID: I20170220000979 |
| Provider Name | Maria R Noyes Paylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033518857 PECOS PAC ID: 0446534309 Enrollment ID: I20170222000092 |
| Provider Name | Elizabeth Kasny Sundborg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750835377 PECOS PAC ID: 0446548424 Enrollment ID: I20170405001582 |
| Provider Name | John L Daggett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881006831 PECOS PAC ID: 9739486259 Enrollment ID: I20170508001244 |
| Provider Name | Sean T O'sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285073205 PECOS PAC ID: 1153544374 Enrollment ID: I20170721001966 |
| Provider Name | Evan M Barnathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558773994 PECOS PAC ID: 9537385570 Enrollment ID: I20170818000300 |
| Provider Name | Andreas Pm Thyssen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215373279 PECOS PAC ID: 7113169376 Enrollment ID: I20170829000592 |
| Provider Name | Bryan A Lamoreau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992117204 PECOS PAC ID: 4284850975 Enrollment ID: I20170912001081 |
| Provider Name | Elisabeth B Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417973587 PECOS PAC ID: 9032371208 Enrollment ID: I20170913002243 |
| Provider Name | Jared J Cassin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780094243 PECOS PAC ID: 6002180965 Enrollment ID: I20170916000540 |
| Provider Name | Grace L Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154735967 PECOS PAC ID: 2567736846 Enrollment ID: I20170926000834 |
| Provider Name | Jillian J Dur |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942647862 PECOS PAC ID: 6608091541 Enrollment ID: I20171003007639 |
| Provider Name | Benjamin R Felix |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477864486 PECOS PAC ID: 3173742541 Enrollment ID: I20171004003289 |
| Provider Name | Byron L Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780819110 PECOS PAC ID: 9537426663 Enrollment ID: I20171128002833 |
| Provider Name | Jennifer Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306273917 PECOS PAC ID: 6901164243 Enrollment ID: I20171214002658 |
| Provider Name | Elizabeth R Bacon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508259532 PECOS PAC ID: 6800158031 Enrollment ID: I20180327002274 |
| Provider Name | Margaret W Curran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891181285 PECOS PAC ID: 9032422613 Enrollment ID: I20180605001983 |
| Provider Name | Ryan Nemon Best |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699169581 PECOS PAC ID: 9830403906 Enrollment ID: I20180723002582 |
| Provider Name | James Mcilhenny Riddleberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114308277 PECOS PAC ID: 1951618511 Enrollment ID: I20180803000734 |
| Provider Name | Christopher E Withers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942612916 PECOS PAC ID: 9931325602 Enrollment ID: I20180828003564 |
| Provider Name | Zhyldyz T Kabaeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730507336 PECOS PAC ID: 0941426092 Enrollment ID: I20180829002689 |
| Provider Name | Adam C Normandin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588050850 PECOS PAC ID: 5496069551 Enrollment ID: I20180910002650 |
| Provider Name | Michelle G Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750778809 PECOS PAC ID: 2860709631 Enrollment ID: I20180913001616 |
| Provider Name | Heidi Walls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902291446 PECOS PAC ID: 1153635198 Enrollment ID: I20181029001587 |
| Provider Name | Hadjh T Ahrns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568606713 PECOS PAC ID: 3779726369 Enrollment ID: I20190314000956 |
| Provider Name | Nathalie K Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881090629 PECOS PAC ID: 8527381789 Enrollment ID: I20190425002527 |
| Provider Name | Marita K Fichera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629426879 PECOS PAC ID: 6709168339 Enrollment ID: I20190507001831 |
| Provider Name | Alex D Feinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245595255 PECOS PAC ID: 1658607965 Enrollment ID: I20190724002765 |
| Provider Name | Christa M Dutremble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124689286 PECOS PAC ID: 5395072888 Enrollment ID: I20190806003586 |
| Provider Name | Alex W Beggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750862769 PECOS PAC ID: 0345571089 Enrollment ID: I20191011000229 |
| Provider Name | Devan Cole Lucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811376072 PECOS PAC ID: 9032421953 Enrollment ID: I20191018002649 |
| Provider Name | Darlene E Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518353945 PECOS PAC ID: 4284948704 Enrollment ID: I20191021000709 |
| Provider Name | Katlyn Breton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962807974 PECOS PAC ID: 8820313729 Enrollment ID: I20191023002895 |
| Provider Name | Marc D Kimball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467815274 PECOS PAC ID: 6608162953 Enrollment ID: I20191108001186 |
| Provider Name | Booth R Dargis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205290152 PECOS PAC ID: 8527354000 Enrollment ID: I20200303002672 |
| Provider Name | Laura L Blaisdell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063587343 PECOS PAC ID: 0941565782 Enrollment ID: I20200330001517 |
| Provider Name | Thomas Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568875565 PECOS PAC ID: 3173827953 Enrollment ID: I20200504000501 |
| Provider Name | Dorothy E Zirkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497309652 PECOS PAC ID: 2961833918 Enrollment ID: I20200507002255 |
| Provider Name | Kellee F Gorgone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588289961 PECOS PAC ID: 8628495710 Enrollment ID: I20200903002556 |
| Provider Name | Erin M Byrt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497286710 PECOS PAC ID: 6204109994 Enrollment ID: I20200911000311 |
| Provider Name | Elizabeth A Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023046059 PECOS PAC ID: 3779586581 Enrollment ID: I20201222001597 |
| Provider Name | Lauren H Buoncristiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740896901 PECOS PAC ID: 8820401391 Enrollment ID: I20201231000620 |
| Provider Name | Carolyn V Ranten |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285166488 PECOS PAC ID: 0244502375 Enrollment ID: I20210120000956 |
| Provider Name | Emily Lavoie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407458250 PECOS PAC ID: 4082029624 Enrollment ID: I20210212001570 |
| Provider Name | Christopher C Decker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871023127 PECOS PAC ID: 4486927597 Enrollment ID: I20210212002228 |
| Provider Name | Alexandra J Lynds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790374361 PECOS PAC ID: 5395150809 Enrollment ID: I20210216000531 |
| Provider Name | Laura D Houk |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649307406 PECOS PAC ID: 1052479482 Enrollment ID: I20210426000339 |
| Provider Name | Chelsea L Violette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649869702 PECOS PAC ID: 3476961798 Enrollment ID: I20210426001249 |
| Provider Name | Tegan Swift |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003204009 PECOS PAC ID: 2668881343 Enrollment ID: I20210510001523 |
| Provider Name | Brian P Youth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528153830 PECOS PAC ID: 0840690103 Enrollment ID: I20210609000301 |
| Provider Name | Erica E Hidu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386176345 PECOS PAC ID: 4183997893 Enrollment ID: I20210610002347 |
| Provider Name | Nellie D Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619472867 PECOS PAC ID: 2961803242 Enrollment ID: I20210623003760 |
| Provider Name | Monica P Schoenbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922685403 PECOS PAC ID: 8628479458 Enrollment ID: I20210630001097 |
| Provider Name | David A Lapham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548765753 PECOS PAC ID: 1951703198 Enrollment ID: I20210712001471 |
| Provider Name | Jessica L Faraci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023402674 PECOS PAC ID: 8527360437 Enrollment ID: I20210727003415 |
| Provider Name | Matthew Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639674591 PECOS PAC ID: 2567865504 Enrollment ID: I20210728001310 |
| Provider Name | Heather Daigle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205331550 PECOS PAC ID: 7911301536 Enrollment ID: I20210804001735 |
| Provider Name | Dylan S Atchley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427547470 PECOS PAC ID: 7012256647 Enrollment ID: I20210817000707 |
| Provider Name | Jessica D Schaumburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033641048 PECOS PAC ID: 8628473055 Enrollment ID: I20210824002112 |
| Provider Name | Anna M Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376116053 PECOS PAC ID: 6709283534 Enrollment ID: I20210922000367 |
| Provider Name | Laura J Faherty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053635508 PECOS PAC ID: 9638319882 Enrollment ID: I20211104002291 |
| Provider Name | Isabel S Lowell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588976500 PECOS PAC ID: 3274773510 Enrollment ID: I20211110001736 |
| Provider Name | Joshua Gleeson- Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235683863 PECOS PAC ID: 8628356847 Enrollment ID: I20211111000042 |
| Provider Name | Malcolm W Creighton-smith |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881041556 PECOS PAC ID: 3274820048 Enrollment ID: I20220131000126 |
| Provider Name | Kaitlin S Minnehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710419312 PECOS PAC ID: 7719250422 Enrollment ID: I20220223001119 |
| Provider Name | Catelin E Geiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568116804 PECOS PAC ID: 2365836459 Enrollment ID: I20220307002186 |
| Provider Name | Kelly A Waldroup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699436758 PECOS PAC ID: 2163809690 Enrollment ID: I20220521000309 |
| Provider Name | Lindsay C Corse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639438476 PECOS PAC ID: 4385876614 Enrollment ID: I20220618000049 |
| Provider Name | Anne Kornkven |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427553353 PECOS PAC ID: 8224418868 Enrollment ID: I20220629001803 |
| Provider Name | Arianna Cortesi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689178592 PECOS PAC ID: 8729469853 Enrollment ID: I20220720001308 |
| Provider Name | Lauren N Boehm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083175350 PECOS PAC ID: 4880922079 Enrollment ID: I20220721000055 |
| Provider Name | Elizabeth Mulcahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164811709 PECOS PAC ID: 9133445745 Enrollment ID: I20220811000696 |
| Provider Name | Joseph Benjamin M Rote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407315302 PECOS PAC ID: 0244569333 Enrollment ID: I20220831001582 |
| Provider Name | Katherine P Sharp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649702119 PECOS PAC ID: 6406129147 Enrollment ID: I20220914003146 |
| Provider Name | William A White |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548765043 PECOS PAC ID: 7618352329 Enrollment ID: I20220916000679 |
| Provider Name | Christopher Caracciolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073171435 PECOS PAC ID: 3870821549 Enrollment ID: I20221006002304 |
| Provider Name | Bhavini Prajapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487159711 PECOS PAC ID: 2163899717 Enrollment ID: I20221110001790 |
| Provider Name | Stephen N Craig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982079794 PECOS PAC ID: 0941678015 Enrollment ID: I20221121001847 |
| Provider Name | Rachel Coffey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558821520 PECOS PAC ID: 1254669120 Enrollment ID: I20221121002904 |
| Provider Name | Cashel O'brien |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093275612 PECOS PAC ID: 9830427061 Enrollment ID: I20221128001349 |
| Provider Name | Sarah Hipkens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497046072 PECOS PAC ID: 7618290479 Enrollment ID: I20221229001741 |
| Provider Name | Elizabeth M Joyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710447974 PECOS PAC ID: 5991033227 Enrollment ID: I20230126001851 |
| Provider Name | Lenore S Chesnutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619527751 PECOS PAC ID: 9830556448 Enrollment ID: I20230613000390 |
| Provider Name | Zachary Priest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376244301 PECOS PAC ID: 3678931235 Enrollment ID: I20230614002366 |
| Provider Name | Christine R Mahoney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851551097 PECOS PAC ID: 8426220708 Enrollment ID: I20230703002625 |
| Provider Name | Ryan Close |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831451442 PECOS PAC ID: 0446540686 Enrollment ID: I20230724001565 |
| Provider Name | Jenna Crutsinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700435807 PECOS PAC ID: 1456785609 Enrollment ID: I20230724002773 |
| Provider Name | Jessica Laplante Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326675455 PECOS PAC ID: 7517382286 Enrollment ID: I20230817001076 |
| Provider Name | Ross W Hilliard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033402276 PECOS PAC ID: 6305079120 Enrollment ID: I20230821000612 |
| Provider Name | Cynthia Lynn Robbins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114122017 PECOS PAC ID: 7911087549 Enrollment ID: I20230821003449 |
| Provider Name | Aaron Michael Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073037016 PECOS PAC ID: 0648694059 Enrollment ID: I20230830002417 |
| Provider Name | Cameron M Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669095717 PECOS PAC ID: 0042636995 Enrollment ID: I20230913002585 |
| Provider Name | Michael Wood Delucia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821626557 PECOS PAC ID: 4284058264 Enrollment ID: I20230919001776 |
| Provider Name | Victoria V Molina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376171207 PECOS PAC ID: 9436574100 Enrollment ID: I20230919002899 |
| Provider Name | Andrew G Heppe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063049377 PECOS PAC ID: 0143644112 Enrollment ID: I20230919002932 |
| Provider Name | Nathan Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831621770 PECOS PAC ID: 4880943323 Enrollment ID: I20230927002150 |
| Provider Name | Brandon Pearson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508649492 PECOS PAC ID: 7214382175 Enrollment ID: I20231012001071 |
| Provider Name | Elizabeth Lehleitner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437745387 PECOS PAC ID: 1658789706 Enrollment ID: I20231025001857 |
| Provider Name | Robert Gilbert Michaud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841827987 PECOS PAC ID: 4789008871 Enrollment ID: I20231025003094 |
| Provider Name | Rute S Rothwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013477306 PECOS PAC ID: 0345579447 Enrollment ID: I20231204002685 |
| Provider Name | Jill Husson Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588965503 PECOS PAC ID: 2466689922 Enrollment ID: I20231208002444 |
| Provider Name | Theresa Grace Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154106672 PECOS PAC ID: 5890147169 Enrollment ID: I20240123001285 |
Metabolic Leader Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51 Us Route 1 Ste H, Scarborough, ME 04074 Phone: 207-396-6433 Fax: 207-396-6436 | |
Maine Medical Partners Scarborough Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Professional Dr, Scarborough, ME 04074 Phone: 207-883-3491 Fax: 207-883-5587 | |
Whole Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2o Mussey Road, Suite 2, Scarborough, ME 04074 Phone: 207-885-1333 | |
Scarborough Integrative Health, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Us Route 1 Ste A, Scarborough, ME 04074 Phone: 207-396-1440 Fax: 207-289-3104 | |
Scarborough Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Us Route 1, 6 Science Park Road, Scarborough, ME 04074 Phone: 207-883-8100 Fax: 207-883-8756 | |
Kenneth Ault Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 Research Dr, Scarborough, ME 04074 Phone: 207-885-8130 Fax: 207-885-8110 |