LYNNE M TETREAULT (NPI# 1023104155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023104155 |
| Entity Type | Individual |
| Full Name | LYNNE M TETREAULT |
| Credential | MD |
| Practice Address |
5 Scamman St. Saco ME 04072 |
| Mailing Address |
301c Us Route 1 Scarborough ME 04074-9701 |
| Practice Telephone | 2072823327 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD14722 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 268810099 | 05 |
| Street Address |
5 SCAMMAN ST. |
| City | SACO |
| State | ME |
| Zip Code | 04072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043786 | Maine Safe Ride Services | Non-emergency Medical Transport (VAN) | 32 Water St, Suite 4, Saco, ME 04072 | 2019-10-02 |
| 1821656810 | Rebecca Akins | Occupational Therapist | Mainely Kidz Pt, 895 Portland Rd., Saco, ME 04072 | 2019-06-04 |
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1861990103 | Morgan Dube | Specialist/Technologist | 21 Evergreen Dr, Saco, ME 04072 | 2018-01-31 |
| 1639603004 | Jodi Morris | Massage Therapist | 10 School Street 2nd Floor, Saco, ME 04072 | 2017-04-12 |
| 1073812665 | Elisabeth Geralyn Holdsworth | Specialist | 895 Portland Road, Saco, ME 04072 | 2011-03-22 |
| 1336378181 | Ah Inn Associates LLC | Assisted Living Facility | 100 Harbor Drive, Saco, ME 04072 | 2009-07-14 |
| 1326286634 | Bambi Morgan Delattre | Counselor | 655 Maine Street, Saco, ME 04072 | 2009-01-23 |
| 1215054143 | Meret Claudia Bainbridge | Acupuncturist | 35 Storer St, Saco, ME 04072 | 2007-03-24 |
| 1205941952 | Harold E Chamberlin | Podiatrist | 333 Lincoln Street, Kimball Health Ctr, Saco, ME 04072 | 2006-08-21 |
| Find all providers in zip 04072 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952371684 | Maura Beverlin Price | Pediatrics | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2006-01-25 |
| 1093886111 | Alison H Kopelman | Pediatrics | 655 Main St, Saco, ME 04072-1543 | 2006-11-11 |
| 1417042029 | Robert A Faucette | Pediatrics | 4 Scammon St, Suite 51, Saco, ME 04072-5121 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059111 | Harbor Pediatrics, P.a. | Pediatrics | 1 Brickyard Ln Unit B, York, ME 03909-1686 | 2019-12-09 |
| 1639681307 | Strong Mind Strong Body, P.C. | Pediatrics | 3 Jacobs Ave, Camden, ME 04843-2009 | 2017-11-02 |
| 1578095212 | Jennifer Janet Paul | Pediatrics | 16 Fahy St Ste 107, Belfast, ME 04915-6029 | 2017-03-31 |
| 1932552106 | Aardvark Pediatrics LLC | Pediatrics | 9 Marston St Ste 6, Norway, ME 04268-5781 | 2016-07-22 |
| 1861800765 | Maria Eugenia Gonzalez Rutmann | Pediatrics | 23 North St Ste 1, Presque Isle, ME 04769-2295 | 2014-07-24 |
| 1760805659 | Anthony Joseph Pileggi | Pediatrics | 48 75th Fire Road, South China, ME 04358 | 2014-01-28 |
| 1801186010 | Margaret E. Grala | Pediatrics | 100 Foden Rd,west, Suite 303, South Portland, ME 04106 | 2011-04-10 |
| 1104144666 | Margaret Elizabeth Kloby | Pediatrics | 7 Madelyn Ln Ste B, Rockport, ME 04856-4460 | 2010-05-08 |
| 1801113386 | Gerard Rubin | Pediatrics | 6 E Chestnut St Ste 310, Augusta, ME 04330-5717 | 2010-04-23 |
| 1831416452 | Sei-gyung Kim Sze | Pediatrics | 100 Campus Dr Unit 107, Scarborough, ME 04074 | 2010-04-21 |
| Find all providers with the same taxonomy | ||||
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| 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.