DR. DOUGLAS JOSEPH JORGENSEN (NPI# 1043216922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043216922 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS JOSEPH JORGENSEN |
| Credential | DO |
| Practice Address |
29 Bowdoin St Manchester ME 04351-3554 |
| Practice Telephone | 2076224500 |
| Practice Fax Number | 2076225452 |
| Mailing Telephone | 2076224500 |
| Mailing Fax Number | 2076225452 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2013-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | ME 1550 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA HMO | HM197880 | 01 | |
| ME | ANTHEM BC/BS | 041150 | 01 |
| Street Address |
29 BOWDOIN ST |
| City | MANCHESTER |
| State | ME |
| Zip Code | 04351-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407403611 | Evergreen Health, LLC | Clinic/Center | 29 Bowdoin St, Manchester, ME 04351-3554 | 2019-08-22 |
| 1326506395 | Christopher Curtis King | Nurse Practitioner | 29 Bowdoin St, Manchester, ME 04351-3554 | 2019-03-07 |
| 1598799132 | Suzanne Wentworth Meub | Nurse Practitioner | 29 Bowdoin St, Manchester, ME 04351-3554 | 2006-07-10 |
| 1730187923 | Northern New England Primary Care | Chiropractor | 29 Bowdoin St, Manchester, ME 04351 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1740563428 | Insight-premier Health LLC | Clinic/Center | 27 Bowdoin Street, Manchester, ME 04351 | 2011-09-20 |
| 1427353069 | Robin Page Dufour | Physical Therapist | 6 Rockwood Dr, Suite 2, Manchester, ME 04351 | 2011-01-12 |
| 1174839708 | Richard Ofoe Kavi | Pharmacist | 943 Western Ave, Manchester, ME 04351 | 2010-08-20 |
| 1700199031 | Neil A Graves | Pharmacist | 943 Western Ave., Manchester, ME 04351 | 2010-07-15 |
| 1427212059 | Dustin R Sulak | Family Medicine | 964 Western Ave., Manchester, ME 04351 | 2008-07-14 |
| 1437312295 | Crossroads Counseling Center Pllc | Social Worker | 726 Western Ave., Manchester, ME 04351 | 2008-07-02 |
| 1548453616 | Christopher Paul Beaudoin | Social Worker | 15 Range Way Suite 3, Manchester, ME 04351 | 2007-08-22 |
| 1275724288 | Shawn Kenneth Hodgdon | Social Worker | 726 Western Avenue, Manchester, ME 04351 | 2007-08-05 |
| 1790900512 | Scott A Hayward | Social Worker | 15 Range Way, Suite 3, Manchester, ME 04351 | 2007-04-16 |
| Find all providers in zip 04351 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225045941 | William James Kirmes | Neuromusculoskeletal Medicine & OMM | 35 High St, Manchester, NH 03104-6116 | 2006-08-02 |
| 1861464505 | Walter Witryol | Neuromusculoskeletal Medicine & OMM | 29 Haynes St Ste D, Manchester, CT 06040-4139 | 2006-02-06 |
| 1689225773 | Albrecht Integrative Osteopathy, Pllc | Neuromusculoskeletal Medicine & OMM | 707 Chestnut St, Manchester, NH 03104-3010 | 2019-09-20 |
| 1811384555 | Integrative Osteopathic Medicine & Healing Center, LLC | Neuromusculoskeletal Medicine & OMM | 16 High St, Suite 2, Manchester, NH 03101-1610 | 2015-04-21 |
| 1881997716 | Jonquille Bouchard | Neuromusculoskeletal Medicine & OMM | 16 High St, Suite 2, Manchester, NH 03101-1610 | 2010-12-15 |
| 1962714022 | Tricia Erica Hall | Neuromusculoskeletal Medicine & OMM | 29 Haynes St Ste D, Manchester, CT 06040-4139 | 2010-07-06 |
| 1992989651 | William J. Kirmes D.o.,pa. | Neuromusculoskeletal Medicine & OMM | 35 High St, Manchester, NH 03104-6116 | 2007-12-18 |
| 1205043486 | Michael D Waddington | Neuromusculoskeletal Medicine & OMM | 29 Haynes St Ste D, Manchester, CT 06040-4139 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428848 | David D Keller Do PC | Neuromusculoskeletal Medicine & OMM | 195 Fore River Pkwy Ste 470, Portland, ME 04102-2787 | 2018-12-11 |
| 1659715738 | Maine Osteopathic Medicine, LLC | Neuromusculoskeletal Medicine & OMM | 146 Ocean St, Suite 2, South Portland, ME 04106-3664 | 2013-04-19 |
| 1114161874 | Timothy Christopher Kulikowski | Neuromusculoskeletal Medicine & OMM | 915 Union St Ste 4, Bangor, ME 04401-8603 | 2009-04-26 |
| 1720242357 | Daniel S Gibbons | Neuromusculoskeletal Medicine & OMM | 23 Durham Rd Ste 101, Freeport, ME 04032-6796 | 2008-07-14 |
| 1285896514 | Jennifer Lee Lakis | Neuromusculoskeletal Medicine & OMM | 14 Maine St # 14, Brunswick, ME 04011-2049 | 2008-06-27 |
| 1003006271 | Karen M Benezra | Neuromusculoskeletal Medicine & OMM | 62 Portland Rd Ste 21, Kennebunk, ME 04043-6650 | 2007-07-25 |
| 1508065210 | Joshua Iannetta | Neuromusculoskeletal Medicine & OMM | 632 Us Route 1, Scarborough, ME 04074-9794 | 2007-07-12 |
| 1265579015 | Bonnie Joan Sendzicki | Neuromusculoskeletal Medicine & OMM | 81 Blackguard Road, Waterford, ME 04088 | 2007-01-31 |
| 1760531180 | Christine Blake Smith | Neuromusculoskeletal Medicine & OMM | 114 Stroudwater St, Westbrook, ME 04092-4037 | 2007-01-09 |
| 1003984311 | Charles W Sullivan | Neuromusculoskeletal Medicine & OMM | 98 Second St, Hallowell, ME 04347-1368 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 04351 |
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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.