DR. SHANE GRIFFITH (NPI# 1114346251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114346251 |
| Entity Type | Individual |
| Full Name | DR. SHANE GRIFFITH |
| Credential | D.O. |
| Practice Address |
81 Medical Center Dr Ste 1150 Brunswick ME 04011-2765 |
| Practice Telephone | 2077210911 |
| Practice Fax Number | 2077219729 |
| Mailing Telephone | 2077210911 |
| Mailing Fax Number | 2077219729 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | DO2892 | ME | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | OT015658 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5515 Peach St, Erie, PA 165092603 | 8148688206 |
| Street Address |
81 MEDICAL CENTER DR STE 1150 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| 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 |
|---|---|---|---|---|
| 1811028558 | Coastal Head & Neck Associates, PC | Otolaryngology | 1107 Gloucester St, Brunswick, GA 31520-7053 | 2007-03-07 |
| 1992805253 | Peter D O'connor | Otolaryngology | 331 Maine St Ste 4, Brunswick, ME 04011-3359 | 2006-09-25 |
| 1316935000 | Sherman Aurthur Stevenson | Otolaryngology | 3205 Shrine Road, Suite 480, Brunswick, GA 31520-4722 | 2005-10-07 |
| 1518026053 | Gregory Penner, Md | Otolaryngology | 331 Maine St, Suite 4, Brunswick, ME 04011-3358 | 2006-12-08 |
| 1104905405 | Southern Coastal Ent PC | Otolaryngology | 2500 Starling St, Suite 403, Brunswick, GA 31520-4265 | 2006-11-06 |
| 1326159120 | Karla K. Hansen | Otolaryngology | 2500 Starling Street, Suite 601, Brunswick, GA 31520-4271 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1689930901 | Christopher F Manning | Otolaryngology | 88 Talbot Ave, Rockland, ME 04841-2934 | 2012-04-11 |
| 1013209931 | Angela Cheng-hung Tsai | Otolaryngology | 885 Union St Ste 145, Bangor, ME 04401-3073 | 2011-05-11 |
| 1265764484 | El-silimy Md LLC | Otolaryngology | 73 Sweden St, Caribou, ME 04736-2101 | 2010-02-12 |
| 1992877013 | Osama Ea El Silimy | Otolaryngology | 73 Sweden Street, Caribou, ME 04736 | 2006-11-14 |
| 1023105020 | Charles R Gasser | Otolaryngology | 12 High St Ste 102, Lewiston, ME 04240-7634 | 2006-10-10 |
| 1043310931 | Charles F Kava | Otolaryngology | 68 Ben Paul Ln, Rockport, ME 04856-4452 | 2006-09-22 |
| 1811094220 | William Raymond Chasse | Otolaryngology | 325 B Kennedy Memorial Drive, Waterville, ME 04901 | 2006-09-20 |
| 1629086657 | Michael P Joseph | Otolaryngology | 105 Mt Blue Cir, Suite 2, Farmington, ME 04938-6239 | 2006-08-04 |
| 1477574887 | Michael Nmi Knowland | Otolaryngology | 130 Clifford St, South Portland, ME 04106-6520 | 2006-07-21 |
| Find all providers with the same taxonomy | ||||
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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.