PETER J MASCETTA (NPI# 1053317164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053317164 |
| Entity Type | Individual |
| Full Name | PETER J MASCETTA |
| Credential | D.O |
| Practice Address |
6 East Chestnut Street Augusta ME 04333-0001 |
| Mailing Address |
28 Arsenal St Augusta ME 04330-5226 |
| Practice Telephone | 2076261000 |
| Mailing Telephone | 2076224231 |
| Mailing Fax Number | 2076231580 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2008-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
918 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 2861000099 | 05 |
| Street Address |
6 EAST CHESTNUT STREET |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04333-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962757476 | Stacia K St. John | Registered Nurse | 1 Togus Ctr, Augusta, ME 04333-0001 | 2012-07-20 |
| 1649413360 | State of Maine | Case Management | 32 Blossom Ln, Augusta, ME 04333-0001 | 2009-04-10 |
| 1487864930 | Shaun Quimby | Social Worker | 1 Weston Ct Fl 3, Augusta, ME 04333-0001 | 2007-05-23 |
| 1689793077 | Elsie J Freeman | Psychiatry & Neurology | Main Dhhs, 11 State House Station, Augusta, ME 04333-0001 | 2007-03-28 |
| 1407985302 | State of Maine Health and Environmental Tessting Laboratory | Clinical Medical Laboratory | Station 12, 221 State Street, Augusta, ME 04333-0001 | 2007-03-05 |
| 1326081076 | Grace Odimayo | Dentist | 250 Arsenal Street, 11 Shs, Augusta, ME 04333-0001 | 2006-06-13 |
| 1013987403 | Teresa M Mayo | Psychologist | 250 Arsenal St, 11 Shs, Augusta, ME 04333-0001 | 2006-01-26 |
| 1295705671 | Tatiana W Gregor | Psychologist | 250 Arsenal St, 11 Shs, Augusta, ME 04333-0001 | 2006-01-26 |
| 1538144860 | George Edward Davis | Internal Medicine | 250 Arsenal Street, 11 Shs, Augusta, ME 04333-0001 | 2005-12-09 |
| 1427370014 | Susan Waldron Newkirk-sanborn | Psychologist | 250 Arsenal St., 11 State House Station, Augusta, ME 04333-0011 | 2010-02-23 |
| Find all providers in zip 04333 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841391570 | Sathy Gupta | Radiology | 1 Freedom Way (237), Augusta, GA 30904-6285 | 2006-09-26 |
| 1134172547 | Karl E Weingarten | Radiology | 630 13th Street, Suite 250, Augusta, GA 30901 | 2006-05-18 |
| 1649269440 | Seth M Hardy | Radiology | 28 Arsenal St, Augusta, ME 04330-5226 | 2005-10-14 |
| 1619474848 | Freyli Josefina Bustamante | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2018-04-13 |
| 1063861045 | Corey Garvin | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2016-06-09 |
| 1801244587 | Brian Sifrig | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2016-06-02 |
| 1851796270 | Ana R Fernandes Longuino | Radiology | 1120 15th St, Augusta, GA 30912-0001 | 2014-10-28 |
| 1093132979 | Hanping Wu | Radiology | 1120 15th St, Augusta, GA 30912-7101 | 2014-03-28 |
| 1235567843 | Maine Mobile Mri Associates | Radiology | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2013-10-16 |
| 1932532900 | Lorie Stumpo | Radiology | 1120 15th St, Room Ba-1403, Augusta, GA 30912-0004 | 2013-08-14 |
| Find all providers in AUGUSTA | ||||
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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.