DR. MATTHEW JAMES HEARST (NPI# 1073724381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073724381 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JAMES HEARST |
| Credential | MD |
| Practice Address |
43 Baxter Blvd Portland ME 04101-1823 |
| Practice Telephone | 2077756381 |
| Practice Fax Number | 2077753378 |
| Mailing Telephone | 2077975753 |
| Mailing Fax Number | 2077979751 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD17823 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
43 BAXTER BLVD |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648323 | William Maxwell | Otolaryngology | 43 Baxter Blvd, Portland, ME 04101-1823 | 2005-12-05 |
| 1619488004 | Carolyn Michelle Lebeis | Speech-Language Pathologist | 43 Baxter Blvd, Portland, ME 04101-1823 | 2017-10-12 |
| 1720502628 | Keith James Bourgeois | Nurse Practitioner | 43 Baxter Blvd, Portland, ME 04101-1823 | 2017-08-01 |
| 1720533821 | Melissa Graziani | Audiologist | 43 Baxter Blvd, Portland, ME 04101-1823 | 2016-08-18 |
| 1982056347 | Megan Lynne Black | Nurse Practitioner | 43 Baxter Blvd, Portland, ME 04101-1823 | 2016-07-11 |
| 1942681168 | Katelyn Bennett | Physical Therapist | 43 Baxter Blvd, Portland, ME 04101-1823 | 2015-06-12 |
| 1679834030 | Karen Tartakoff | Audiologist | 43 Baxter Blvd, Portland, ME 04101-1823 | 2012-06-01 |
| 1700190519 | Gretchen F Preneta | Physician Assistant | 43 Baxter Blvd, Portland, ME 04101-1823 | 2010-08-04 |
| 1821325804 | Kevin M Burke | Otolaryngology | 43 Baxter Blvd, Portland, ME 04101-1823 | 2009-11-11 |
| 1275772691 | Michelle Allen Rioux | Physical Therapist | 43 Baxter Blvd, Portland, ME 04101-1823 | 2009-02-09 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104289933 | Ci An Gerald Tay | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239 | 2016-03-30 |
| 1922471291 | Caitlin Bertelsen | Otolaryngology | 3303 Sw Bond Ave Ste 15, Portland, OR 97239-4501 | 2015-11-08 |
| 1962708578 | John A Lindgren, Md PC | Otolaryngology | 9155 Sw Barnes Rd Ste 401, Portland, OR 97225-6631 | 2011-01-28 |
| 1558674861 | Lucas Rein Rudmik | Otolaryngology | 3720 Sw Bond Ave Unit 2210, Portland, OR 97239-4577 | 2010-07-16 |
| 1114193448 | Ryan Jeffrey Li | Otolaryngology | 3181 Sw Sam Jackson Park Rd # 01, Portland, OR 97239-3011 | 2008-05-06 |
| 1598968380 | Jeremiah Andrew Alt | Otolaryngology | 3303 Sw Bond Ave # Ch5e, Portland, OR 97239-3098 | 2007-06-07 |
| 1598835688 | Portland Ear Nose & Throat | Otolaryngology | 10535 Ne Glisan, #350, Portland, OR 97220 | 2006-11-08 |
| 1871674374 | Suzanne Cleland Zamudio Md PC | Otolaryngology | 501 N. Graham, #455, Portland, OR 97227 | 2006-10-18 |
| 1689769028 | Ericka Francine King | Otolaryngology | 3181 Sw Sam Jackson Park Rd. Pv-01, Portland, OR 97225 | 2006-10-03 |
| 1295745198 | Charles Leo Kaluza | Otolaryngology | 2816 Se Steele St, Portland, OR 97202-4525 | 2006-08-09 |
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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.