ROBERTA BEVERLY GERSON (NPI# 1023176823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023176823 |
| Entity Type | Individual |
| Full Name | ROBERTA BEVERLY GERSON |
| Credential | D.O. |
| Practice Address |
2 Livewell Dr Goodall Occupational Health Center Kennebunk ME 04043-6762 |
| Mailing Address |
459 Pool St Biddeford ME 04005-9575 |
| Practice Telephone | 2074907801 |
| Practice Fax Number | 2076041018 |
| Mailing Telephone | 2072829008 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2013-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 1232 | ME | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
1232 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | STATE LICENSE NUMBER | 1232 | 01 |
| ME | DEA NUMBER | BG1087128 | 01 |
| Street Address |
2 LIVEWELL DR GOODALL OCCUPATIONAL HEALTH CENTER |
| City | KENNEBUNK |
| State | ME |
| Zip Code | 04043-6762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930177 | Christopher Allan Hughes | Psychiatry & Neurology | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2005-05-24 |
| 1134752884 | Harpswell Coffin | Family Medicine | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2020-02-20 |
| 1144882549 | Debra B Alexandre | Physical Therapist | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2019-07-05 |
| 1366002313 | Janet Blake Freeman | Physical Therapist | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2019-06-20 |
| 1083274682 | Ali Arsenault | Occupational Therapist | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2019-06-17 |
| 1093375859 | Heather Eastman | Physical Therapist | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2019-06-14 |
| 1558926212 | Sarah E Mclean | Physical Therapist | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2019-05-07 |
| 1730669532 | Mainehealth | Clinic/Center | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2018-08-21 |
| 1215413851 | Amanda Graber | Nurse Practitioner | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2018-07-17 |
| 1932652864 | Custom Hearing LLC | Hearing Aid Equipment | 2 Livewell Dr, Suite 102, Kennebunk, ME 04043-6762 | 2016-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397032 | Savida Agency, Inc. | Psychiatry & Neurology | 21a Western Ave, Suite 1, Kennebunk, ME 04043 | 2019-07-02 |
| 1578018610 | Christine Fecko | Social Worker | 14 Summer Street, Kennebunk, ME 04043 | 2016-08-18 |
| 1861841785 | Sarah Pollack | Pharmacist | 18 Blue Wave Professional Center, Kennebunk, ME 04043 | 2016-06-10 |
| 1417305566 | You&me Psychological and Consultation Services (ypcs) | Psychologist | Room 201, 8-7, Yanghwaro 12gil, Mapo-gu, Seoul, KOREA 04043 | 2016-05-31 |
| 1679933972 | Kimberly Kasten | Physician Assistant | 2 Livewell Drive, South Tower, Suite 200, Kennebunk, ME 04043 | 2016-02-29 |
| 1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
| 1447649280 | Mark Ouellette | Nurse Practitioner | 2 Livewell Drive - North Tower, Kennebunk, ME 04043 | 2015-01-16 |
| 1902155005 | Kristina Caron Occupational Therapy, LLC | Occupational Therapist | 27 Fletcher St Apt 2, Kennebunk, ME 04043 | 2012-09-05 |
| 1174838361 | Tracy Lynn Mason | Occupational Therapist | 87 Fletcher St., Maine Regional School Unit 21, Kennebunk, ME 04043 | 2010-08-11 |
| 1538392261 | Susanne Randall | In Home Supportive Care | 3 Elannas Way, Kennebunk, ME 04043 | 2009-08-28 |
| Find all providers in zip 04043 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306006580 | Deborah S. Rojas | Preventive Medicine | 54 Saint John St, Portland, ME 04102-3018 | 2008-06-11 |
| 1093985434 | Richard Harry Wilkins | Preventive Medicine | 1278 Roosevelt Trl, Raymond, ME 04071-6604 | 2008-02-29 |
| 1841411337 | Alan Clark Bean | Preventive Medicine | 75 Weston Farm Road, Harrison, ME 04040 | 2007-05-01 |
| 1700909751 | Leslie Ann Walleigh | Preventive Medicine | Key Plz Fl 3, 286 Water St, 11 Shs, Augusta, ME 04333-0011 | 2007-04-06 |
| 1376563411 | Robert Edward Gaetjens | Preventive Medicine | 113 Wells St., Pratt &whitney Aircraft, North Berwick, ME 03906 | 2006-07-20 |
| 1821547860 | U.S. Healthworks Medical Group of Maine, Inc. | Preventive Medicine | 11 Medical Center Dr, Brunswick, ME 04011-2690 | 2016-10-03 |
| 1205385143 | U.S. Healthworks Medical Group of Maine, Inc. | Preventive Medicine | 400 Southborough Dr, South Portland, ME 04106-3249 | 2016-10-03 |
| 1366709735 | Shilpa Narasimhan Gowda | Preventive Medicine | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2012-04-23 |
| 1568792224 | St. Mary's Health System | Preventive Medicine | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2009-12-31 |
| 1124278684 | Sunbury Primary Care, P.a. | Preventive Medicine | 133 Corporate Dr, Suite 4, Bangor, ME 04401-4312 | 2008-09-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROBERTA BEVERLY GERSON.
| 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.