NEW ENGLAND UROLOGY, P.A. (NPI# 1043297013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043297013 |
| Entity Type | Organization |
| Organization Name | NEW ENGLAND UROLOGY, P.A. |
| Practice Address |
20 Hartford St Suite 3 Houlton ME 04730-1891 |
| Mailing Address |
Po Box 1849 Lewiston ME 04241-1849 |
| Practice Telephone | 2075320774 |
| Mailing Telephone | 2077842554 |
| Mailing Fax Number | 2077775363 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PRAKASH THAWAIT (PRESIDENT) |
| Authorized Official Telephone | 2075320774 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
20 HARTFORD ST SUITE 3 |
| City | HOULTON |
| State | ME |
| Zip Code | 04730-1891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670705 | Aroostook Diagnostic Imaging | Clinic/Center | 20 Hartford St, Houlton, ME 04730-1891 | 2005-06-23 |
| 1427655638 | Kathryn Ashley Olson | Physical Therapist | 20 Hartford St, Houlton, ME 04730-1891 | 2020-10-01 |
| 1083211270 | Amy Witmer | Occupational Therapist | 20 Hartford St, Houlton, ME 04730-1859 | 2020-10-01 |
| 1801353842 | Jennifer Young | Physical Therapy Assistant | 20 Hartford St, Houlton, ME 04730-1891 | 2019-02-26 |
| 1639636129 | Lorraine Folsom | Physical Therapist | 20 Hartford St, Houlton, ME 04730-1891 | 2019-02-21 |
| 1275090615 | Lisa Duff | Physical Therapist | 20 Hartford St, Houlton, ME 04730-1859 | 2019-02-21 |
| 1881108298 | Amy Odonnell | Occupational Therapist | 20 Hartford St, Houlton, ME 04730-1891 | 2017-11-21 |
| 1912362468 | Michele Mcpherson | Physical Therapist | 20 Hartford St, Houlton, ME 04730-1891 | 2015-12-29 |
| 1215340617 | Jennifer Cavalari | Family Medicine | 20 Hartford St, Houlton, ME 04730-1891 | 2014-06-04 |
| 1013355254 | Houlton Regional Hospital | Medicare Defined Swing Bed Unit | 20 Hartford St, Houlton, ME 04730-1891 | 2013-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924322 | Sarah Lee Lynds | Occupational Therapy Assistant | 20 Harford St, Houlton, ME 04730 | 2019-04-02 |
| 1518267715 | Jill Forest | Case Manager/Care Coordinator | 147 Hodgdon Mills Road, Hodgdon, ME 04730 | 2010-10-22 |
| 1689989097 | Miriam Carter | Speech-Language Pathologist | 65 South St., Rsu #29, Houlton, ME 04730 | 2010-08-10 |
| 1821296708 | Carl Malcolm Tingley | Physical Therapy Assistant | 342 Mcsheffery Road, Houlton, ME 04730 | 2007-07-03 |
| 1386847804 | Jennifer Ann Gooley | Physical Therapy Assistant | 94 Militay St., Madigan Estates, Holton, ME 04730 | 2007-06-11 |
| 1386783173 | Bruce Merrill Harvey | Chiropractor | 22 B Road, Houlton, ME 04730 | 2007-02-06 |
| 1225124050 | Houlton Band of Maliseet Indians | Clinic/Center | 12 Clover Circle, Houlton, ME 04730 | 2006-10-05 |
| 1205929171 | Donald P Woods | Dentist | 88 Mcsheffery Rd, Houlton, ME 04730 | 2006-10-02 |
| 1578665485 | Donald G Brushett | Family Medicine | 59 Bangor Street, Katahdin Valley Health Center, Houlton, ME 04730 | 2006-09-01 |
| 1518463470 | A New Start LLC | Social Worker | 22 North Street, Houiton, ME 04730 | 2018-03-31 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720013204 | John Russell | Urology | 22 Hartford St # Sr, Houlton, ME 04730-1844 | 2006-07-12 |
| 1396722369 | Prakash Thawait | Urology | 22 Hartford St, Suite 3, Houlton, ME 04730-1844 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942614979 | Marc Calabrese | Urology | 21 Donald B Dean Dr Ste 1, South Portland, ME 04106-3234 | 2014-06-18 |
| 1144507948 | Andrew Percy Iverson,md II | Urology | 11 Staples Point Rd, Freeport, ME 04032-6003 | 2011-11-08 |
| 1063640555 | Curtis P. Ross | Urology | 55 Broadway Ste 2, Bangor, ME 04401-5201 | 2009-06-23 |
| 1790928570 | Evan J Dunn | Urology | 287 Main St Ste 404, Lewiston, ME 04240-7056 | 2009-04-09 |
| 1659534782 | Jonas Gricius | Urology | 55 Broadway Fl 2, Bangor, ME 04401-5201 | 2008-07-09 |
| 1639260847 | Derrick S Tooth | Urology | 1053 Western Ave, Manchester, ME 04351-3403 | 2006-09-27 |
| 1093806200 | Joseph Flannery Lopes | Urology | 9 Pleasant Street, Suite 2, Oakland, ME 04963 | 2006-09-27 |
| 1649226655 | Moritz H Hansen | Urology | 100 Brickhill Avenue, South Portland, ME 04106 | 2006-05-25 |
| 1285692392 | James W Ross | Urology | 85 Baribeau Drive, Brunswick, ME 04011 | 2006-05-01 |
| 1124080445 | Elizabeth A Albertson | Urology | 3 Glen Cove Dr # 3, Rockport, ME 04856-4232 | 2006-04-03 |
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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.