| Portland Gastroenterology Associates P.a. | |
|
161 Marginal Way Portland ME 04101 | |
| (207) 773-7964 | |
| (207) 773-9073 |
| Full Name | Portland Gastroenterology Associates P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 161 Marginal Way, Portland, Maine |
| Authorized Official Name and Position | Melissa Gousse (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2077737964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Gastroenterology Associates P.a. 161 Marginal Way Portland ME 04101-2438 Ph: (207) 773-7964 | Portland Gastroenterology Associates P.a. 161 Marginal Way Portland ME 04101 Ph: (207) 773-7964 |
| NPI Number | 1508087289 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 02/03/2023 |
| Medicare PECOS PAC ID | 5193702967 |
|---|---|
| Medicare Enrollment ID | O20040630000866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508087289 | NPI | - | NPPES |
| 111280000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | James Morse |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679512719 PECOS PAC ID: 3476444522 Enrollment ID: I20040320000323 |
| Provider Name | Susan J Morley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639384555 PECOS PAC ID: 9032195946 Enrollment ID: I20040629001253 |
| Provider Name | Gordon A Millspaugh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114025988 PECOS PAC ID: 3072590744 Enrollment ID: I20050602001075 |
| Provider Name | John F Erkkinen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154429918 PECOS PAC ID: 0446237119 Enrollment ID: I20050607000807 |
| Provider Name | Benjamin B Potter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285689505 PECOS PAC ID: 7719964584 Enrollment ID: I20050613000625 |
| Provider Name | Alan E Kilby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558456442 PECOS PAC ID: 0446237218 Enrollment ID: I20050713000726 |
| Provider Name | Gilbert M Wilcox |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750446936 PECOS PAC ID: 6305873282 Enrollment ID: I20050722000036 |
| Provider Name | Tara K Hieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679681456 PECOS PAC ID: 8426063215 Enrollment ID: I20060215000619 |
| Provider Name | Melanie F Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497881833 PECOS PAC ID: 7315038106 Enrollment ID: I20070808000584 |
| Provider Name | Thalia Mayes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033126826 PECOS PAC ID: 3375602667 Enrollment ID: I20081031000055 |
| Provider Name | Andreas Stefan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831299460 PECOS PAC ID: 8426941691 Enrollment ID: I20111229000088 |
| Provider Name | Douglas Howell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902904758 PECOS PAC ID: 2365429131 Enrollment ID: I20111229000110 |
| Provider Name | Michael Roy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134227994 PECOS PAC ID: 5991782666 Enrollment ID: I20120203000461 |
| Provider Name | Daniil Rolshud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891990602 PECOS PAC ID: 8527169135 Enrollment ID: I20121029000176 |
| Provider Name | David Andrei Klibansky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972787232 PECOS PAC ID: 6002989431 Enrollment ID: I20131004000124 |
| Provider Name | Ekaterina I Funk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376950337 PECOS PAC ID: 3971720889 Enrollment ID: I20140815001068 |
| Provider Name | Karen Stoughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477952075 PECOS PAC ID: 2567683394 Enrollment ID: I20141021000829 |
| Provider Name | Kate Forsell Kennedy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134325806 PECOS PAC ID: 5395879795 Enrollment ID: I20150310001574 |
| Provider Name | Karrie Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831488477 PECOS PAC ID: 7012962467 Enrollment ID: I20171107002658 |
| Provider Name | Joshua A Goldman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558396523 PECOS PAC ID: 7517996408 Enrollment ID: I20180417001849 |
| Provider Name | Noemi Baffy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164710075 PECOS PAC ID: 2062632292 Enrollment ID: I20180823000248 |
| Provider Name | Vicki L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548820384 PECOS PAC ID: 6305171232 Enrollment ID: I20190715000715 |
| Provider Name | Kelly Pizzo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376986513 PECOS PAC ID: 8628207461 Enrollment ID: I20190730000385 |
| Provider Name | Cristina Churchill Rutherford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831534031 PECOS PAC ID: 2264669423 Enrollment ID: I20191029002138 |
| Provider Name | Elizabeth Hessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982156618 PECOS PAC ID: 9537441704 Enrollment ID: I20210909002220 |
| Provider Name | Hilary Buotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053085746 PECOS PAC ID: 9032515309 Enrollment ID: I20210913000302 |
| Provider Name | Matthew D Grunwald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689061954 PECOS PAC ID: 5395080360 Enrollment ID: I20220727000155 |
| Provider Name | Katherine Kim Rossiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386214716 PECOS PAC ID: 8426426859 Enrollment ID: I20221116001378 |
| Provider Name | Alexander Weick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942542444 PECOS PAC ID: 0648402693 Enrollment ID: I20230818001630 |
Daniel Mark Merson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Forest Ave, Portland, ME 04103 Phone: 207-878-5042 Fax: 207-878-5043 | |
John Stanhope Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Brighton Ave, Portland, ME 04102 Phone: 207-774-2677 Fax: 207-774-5895 | |
City Of Portland Hhs, Phd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 389 Congress St, Room 307, Portland, ME 04101 Phone: 207-874-8784 | |
Michael L. Shuman, M.d.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mellen St, Portland, ME 04101 Phone: 207-774-3835 Fax: 207-774-2176 | |
Maine Medical Center Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-3067 | |
Maurice C. Hothem, Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Auburn St, Portland, ME 04103 Phone: 207-797-4148 Fax: 207-797-5730 | |
Fore River Family Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Sewall St, Portland, ME 04102 Phone: 207-772-8823 Fax: 207-772-1856 |