DR. GORDON ADAIR HEATH (NPI# 1003086109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003086109 |
| Entity Type | Individual |
| Full Name | DR. GORDON ADAIR HEATH |
| Credential | M.D. |
| Practice Address |
96 Ocean St Unit 4 South Portland ME 04106-2855 |
| Practice Telephone | 2072213459 |
| Mailing Telephone | 2072213459 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
006396 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MAINE BOARD OF MEDICINE | 006396 | 01 |
| FL | FLORIDA BOARD OF MEDICINE | ME 99738 | 01 |
| Street Address |
96 OCEAN ST UNIT 4 |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235397696 | Kelly Katherine Mcguire | Psychiatry & Neurology | 236 Gannett Dr, South Portland, ME 04106-6913 | 2008-06-01 |
| 1811300965 | Danielle Hansen Sipsock | Psychiatry & Neurology | 236 Gannett Dr, South Portland, ME 04106-6913 | 2014-06-06 |
| 1538407408 | Francine F. Blattner, Md.pa | Psychiatry & Neurology | 1486b Broadway, South Portland, ME 04106-2602 | 2013-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144455296 | Peter Y. Kang | Psychiatry & Neurology | 7 Oak Hill Ter Ste 218, Scarborough, ME 04074 | 2009-05-19 |
| 1841349255 | Corabell Arps | Psychiatry & Neurology | 970 Illinois Ave, Bangor, ME 04401-2722 | 2007-01-09 |
| 1003977257 | Andrew Cook | Psychiatry & Neurology | 11 State House Station, Augusta, ME 04011-0011 | 2006-12-12 |
| 1952408510 | David Rollo Hawkins Jr. | Psychiatry & Neurology | 88 Hammond St, Fourth Floor, Bangor, ME 04401-4953 | 2006-09-17 |
| 1639197932 | Daniel Bates | Psychiatry & Neurology | 124 Fletcher St, Kennebunk, ME 04043-6877 | 2006-07-17 |
| 1841677804 | Kasey May Moss | Psychiatry & Neurology | 123 Andover Rd, Westbrook, ME 04092-3848 | 2015-04-29 |
| 1780944488 | Monica L Daigle | Psychiatry & Neurology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2012-05-29 |
| 1063648111 | Kimberly P Wells | Psychiatry & Neurology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2009-06-03 |
| 1811197775 | Margaret Zwerling | Psychiatry & Neurology | 21 Elm St, Camden, ME 04843-1949 | 2007-07-19 |
| 1396943734 | Andrej Brajovic | Psychiatry & Neurology | One Medical Center Drive, Beddeford, ME 04005-9422 | 2007-07-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on DR. GORDON ADAIR HEATH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.