JOHN MLADUCKY (NPI# 1033777362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033777362 |
| Entity Type | Individual |
| Full Name | JOHN MLADUCKY |
| Credential | PA-C |
| Practice Address |
144 State St Portland ME 04101-3776 |
| Mailing Address |
56 Pennell Ave Portland ME 04103-2076 |
| Practice Telephone | 2078793000 |
| Mailing Telephone | 9202881384 |
| Enumeration Date | 2019-06-01 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | PA1957 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
144 STATE ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-3776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078712 | Mercy Hospital | General Acute Care Hospital | 144 State St, Portland, ME 04101-3776 | 2005-07-29 |
| 1518502913 | Alex Langton | Physician Assistant | 144 State St, Portland, ME 04101-3776 | 2019-11-10 |
| 1679041016 | Molly Sue Galasyn | Physician Assistant | 144 State St, Portland, ME 04101-3776 | 2018-11-03 |
| 1114407004 | Heather Lynne Hansen | Physician Assistant | 144 State St, Portland, ME 04101-3776 | 2018-08-20 |
| 1851891956 | Christina Cange | Nurse Practitioner | 144 State St, Portland, ME 04101-3776 | 2018-02-15 |
| 1760990212 | Kelsey Elizabeth Langley | Physician Assistant | 144 State St, Portland, ME 04101-3776 | 2018-01-18 |
| 1750805982 | Michelle Ruth Clark | Physician Assistant | 144 State St, Portland, ME 04101-3776 | 2017-07-30 |
| 1720441058 | Virginia Katherine H Weiss | Anesthesiology | 144 State St, Portland, ME 04101-3776 | 2016-04-04 |
| 1871951251 | Abigail Louise Lee | Social Worker | 144 State St, Portland, ME 04101-3776 | 2016-02-01 |
| 1184004145 | Lindsay Murray | Anesthesiology | 144 State St, Portland, ME 04101 | 2015-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700235512 | Samuel Woodworth | Hospitalist | 22 Bramhall St Rm 2227, Portland, ME 04102-3134 | 2016-06-13 |
| 1659547677 | Bassel Beitinjaneh | Hospitalist | 4984 Sw Oleson Rd, 27, Portland, OR 97225-1462 | 2008-04-30 |
| 1972697522 | Mark Helfand | Hospitalist | Portland Vamc P3med, 3710 Sw Us Veterans Hospital Road, Portland, OR 97239 | 2006-10-03 |
| 1558468322 | Peter Damian Sullivan | Hospitalist | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2006-09-20 |
| 1457461279 | Thomas William Barrett | Hospitalist | 3710 Sw Us Va Hospital Rd, Portland Vamc (p3med), Portland, OR 97207-1034 | 2006-08-30 |
| 1215406491 | Cathern Zweifel | Hospitalist | 22 Bramhall St, Portland, ME 04102-3134 | 2018-11-18 |
| 1891227658 | Matthew Andrew O'donnell | Hospitalist | 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3011 | 2017-03-31 |
| 1396277117 | Rebecca Bystrom | Hospitalist | 22 Bramhall St, Portland, ME 04102-3134 | 2017-03-30 |
| 1821520883 | Kelsi Manley | Hospitalist | 3181 Sw Sam Jackson Park Rd, L-579, Portland, OR 97239-3011 | 2017-03-29 |
| 1972966018 | Sophia Mengting Li | Hospitalist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2016-04-05 |
| Find all providers in PORTLAND | ||||
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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.