ELLEN M ANDERSON (NPI# 1104928464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104928464 |
| Entity Type | Individual |
| Full Name | ELLEN M ANDERSON |
| Credential | DPM |
| Practice Address |
839 W Main St Dover Foxcroft ME 04426-1334 |
| Mailing Address |
Po Box 327 Dover-foxcroft ME 04426-0327 |
| Practice Telephone | 2075642536 |
| Practice Fax Number | 2075648581 |
| Mailing Telephone | 2075642536 |
| Mailing Fax Number | 2075648581 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD155 | ME | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 112960000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972820736 | Ellen Anderson | Pharmacist | 112 East Second Street., Winthrop, MN 55396 | 2010-05-03 |
| 1366768129 | Ellen L Anderson | Registered Nurse | N71w35536 Mapleton Lake Dr, Oconomowoc, WI 53066-1214 | 2010-04-19 |
| 1699916288 | Ellen G Anderson | Counselor | 457 Carlisle Dr, Herndon, VA 20170-4819 | 2009-03-12 |
| 1538365226 | Ellen Z. Anderson | Physical Therapist | 791 Lamberts Mill Rd, Westfield, NJ 07090-4735 | 2007-06-21 |
| 1780690701 | Ellen L Anderson | Audiologist | 1287 Oliver Rd, Fairfield, CA 94534-3468 | 2006-07-31 |
| 1386288199 | Ellen Anderson | Counselor | 330 Billingsley Rd, Charlotte, NC 28211-5055 | 2019-11-05 |
| 1497313928 | Ellen Marie Anderson | Speech-Language Pathologist | 2557 Hooper Ave, Brick, NJ 08723-6238 | 2019-05-30 |
| 1760953905 | Ellen Deleiah Anderson | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2018-12-16 |
| 1063982312 | Ellen L Anderson | Registered Nurse | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2018-11-29 |
| 1851872469 | Ellen Anderson | Speech-Language Pathologist | 801 Main St Ste 10, Louisville, CO 80027-1898 | 2018-08-22 |
| Street Address |
839 W MAIN ST |
| City | DOVER FOXCROFT |
| State | ME |
| Zip Code | 04426-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013185826 | Ellen M Anderson Dpm | Durable Medical Equipment & Medical Supplies | 839 W Main St, Dover Foxcroft, ME 04426-1334 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710429691 | Rachel Fillmore | Counselor | 121 Summer St, Dover Foxcroft, ME 04426 | 2016-11-09 |
| 1215256763 | Kristen Fowles Goddard | Genetic Counselor, MS | 897 West Main Street, Dover-foxcroft, ME 04426 | 2010-05-24 |
| 1407088131 | Kylie Jalene Spratt | Speech-Language Pathologist | 50 Pine Crest Drive, Dover Foxcroft, ME 04426 | 2009-08-13 |
| 1730323205 | Two Rivers Child Development Services | Occupational Therapist | 1092a Douty Hill Road, Dover Foxcroft, ME 04426 | 2009-04-28 |
| 1548463623 | Mrh Corp. | General Acute Care Hospital | 897 W Main Street, Dover Foxcroft, ME 04426 | 2007-06-07 |
| 1992845101 | Elizabeth A. Carolin | Social Worker | 572 Bangor Rd., Dover Foxcroft, ME 04426 | 2007-02-07 |
| 1679583678 | Richard Clarke Macdonald | General Practice | 3 Forest St, Dover-foxcroft, ME 04426 | 2006-08-09 |
| 1659327187 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 1073 W Main St, Suite 9, Dover Foxcroft, ME 04426 | 2006-05-26 |
| 1730143439 | Sheila M Miller | Optometrist | 31 North St, Dover Foxcroft, ME 04426 | 2006-04-12 |
| 1588625602 | Howard A Sleeper | Optometrist | 5 Monument Square Ln, Dover Foxcroft, ME 04426 | 2006-03-29 |
| Find all providers in zip 04426 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336367416 | Sandy River Podiatry, Pa | Podiatrist | 114 Perham St, Farmington, ME 04938-1520 | 2007-04-23 |
| 1184775447 | Foot & Ankle Center of Southern Maine | Podiatrist | 75 Portland Rd, Kennebunk, ME 04043-6602 | 2007-01-15 |
| 1700933124 | Maurice R Gardner | Podiatrist | 681 Sabattus St, Lewiston, ME 04240-3829 | 2007-01-05 |
| 1962561480 | Brunswick Foot & Ankle Center, LLC | Podiatrist | 2 Union Street, Suite 1, Brunswick, ME 04011 | 2006-12-08 |
| 1003902149 | Peter Tioseco Ocampo | Podiatrist | 25 Plaza Dr, Ste 9, Scarborough, ME 04074-6900 | 2006-10-05 |
| 1003917337 | Kimberly S. Mason | Podiatrist | 357 Plains Rd, Readfield, ME 04355-3125 | 2006-09-26 |
| 1972602423 | Richard Dimario | Podiatrist | 1 Brickyard Lane, Unit A, York, ME 03909 | 2006-09-21 |
| 1659479541 | Christopher A Toth | Podiatrist | 46 Barra Rd Ste 101, Biddeford, ME 04005-9461 | 2006-09-21 |
| 1154425403 | Joseph M Constantine | Podiatrist | 300 Hammond St, Bangor, ME 04401 | 2006-09-08 |
| 1205941952 | Harold E Chamberlin | Podiatrist | 333 Lincoln Street, Kimball Health Ctr, Saco, ME 04072 | 2006-08-21 |
| Find all providers with the same taxonomy | ||||
| City | DOVER FOXCROFT |
| Zip Code | 04426 |
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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.