DR. MICHAEL R MARCOTTE (NPI# 1154385995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154385995 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL R MARCOTTE |
| Credential | D.C. |
| Practice Address |
20 Shaker Road Gray ME 04039-9531 |
| Mailing Address |
20 Shaker Road Po Box 215 Gray ME 04039-9531 |
| Practice Telephone | 2076577101 |
| Practice Fax Number | 2076577165 |
| Mailing Telephone | 2076577101 |
| Mailing Fax Number | 2076577165 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2013-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CR1361 | ME | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | CIGNA PROVIDER NUMBER | 69304 | 01 |
| ME | 175150099 | 05 | |
| ME | HARVARD PILGRIM PROVIDER | 352502 | 01 |
| ME | BC/BS PROVIDER ID | 061123 | 01 |
| ME | AETNA PROVIDER NUMBER | 3692954 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033769799 | Michael Marcotte | Anesthesiologist Assistant | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2019-09-16 |
| 1124015045 | Michael G Marcotte | Pediatrics | 2060 43rd St Se, Grand Rapids, MI 49508-5099 | 2005-10-05 |
| 1326046889 | Michael Marcotte | Obstetrics & Gynecology | 375 Dixmyth Ave, 8th Floor, Cincinnati, OH 45220-2475 | 2005-07-08 |
| Street Address |
20 SHAKER ROAD |
| City | GRAY |
| State | ME |
| Zip Code | 04039-9531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972738193 | Bridges of Maine, LLC | Day Training, Developmentally Disabled Services | 20 Shaker Road, Gray, ME 04039 | 2009-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1164871331 | Andrea Farrar | Nurse Anesthetist, Certified Registered | 716 Steven's Ave, Portland, ME 04039 | 2016-06-08 |
| 1508246687 | Benjamin Lawlor | Dentist | 31 Portland Rd, Gray, ME 04039 | 2015-06-04 |
| 1669864922 | Tabitha Leadbetter | Massage Therapist | 6 Main Street, Ste 6, Gray, ME 04039 | 2015-02-24 |
| 1326355033 | Jennifer Mccullum | Speech-Language Pathologist | 14 Shaker Road, Gray, ME 04039 | 2010-09-02 |
| 1891018149 | Kristen Curley | Mechanotherapist | 1 Gray Center, Suite# 6, Gray, ME 04039 | 2010-03-01 |
| 1528398104 | Beata Anna Wiktor | Psychologist | 6 Maine Street, Suite 1, Gray, ME 04039 | 2010-01-05 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1740329473 | Chris Jerome Dombrowski | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039 | 2007-02-06 |
| Find all providers in zip 04039 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588846828 | Marcotte Family Chiropractic Pa | Chiropractor | 20 Shaker Rd, Gray, ME 04039-0215 | 2007-11-28 |
| 1184845067 | Todd F Kelleher | Chiropractor | 4292 Gray Highway, Gray, GA 31032 | 2007-05-01 |
| 1992838320 | Hall Family Chiropractic Center | Chiropractor | 5205 Bobby Hicks Hwy Ste 2, Gray, TN 37615-6216 | 2007-03-14 |
| 1740329473 | Chris Jerome Dombrowski | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039 | 2007-02-06 |
| 1891843223 | Scott A Fegley | Chiropractor | 5602 N Roan St, Gray, TN 37615-2689 | 2007-01-08 |
| 1447435383 | Gray Chiropractic Center | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039-9773 | 2008-01-09 |
| 1497968739 | Todd F Kelleher Dc PC | Chiropractor | 4292 Gray Hwy, Gray, GA 31032-5900 | 2007-05-07 |
| 1003958752 | Frances P Dombrowski | Chiropractor | 2 Mcconkey Rd, Gray, ME 04039-9773 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664648 | Benjamin Allen Rogers | Chiropractor | 8 Hill Way Unit 10, Cape Elizabeth, ME 04107-2037 | 2020-09-22 |
| 1275154544 | Summit Chiropractic | Chiropractor | 720 Cedar Grove Rd, Dresden, ME 04342-3401 | 2020-04-28 |
| 1700419751 | Family Wellness Chiropractic Inc. | Chiropractor | 8 Morgan Ln, Windham, ME 04062-4069 | 2020-02-18 |
| 1912546128 | Kristen Leigh Moody | Chiropractor | 500 Us Route 1 Ste 104, Yarmouth, ME 04096-6817 | 2020-01-06 |
| 1174096309 | Vanidestine Chiropractic, Inc | Chiropractor | 336 Mount Hope Ave Ste 11, Bangor, ME 04401-4236 | 2019-01-10 |
| 1659861466 | Ruth Lynette Varney | Chiropractor | 1071 Auburn Rd Ste F, Turner, ME 04282-4157 | 2018-05-16 |
| 1699264143 | My Life Well Adjusted LLC | Chiropractor | 268 State St Ste 1, Bangor, ME 04401-5417 | 2018-05-09 |
| 1053808345 | Tyler Kuntz | Chiropractor | 21 Daigle Ln Ste 103, Sanford, ME 04073-3939 | 2018-04-23 |
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1588174023 | Rebecca Brouillette | Chiropractor | 57 Jefferson St, Biddeford, ME 04005-2540 | 2017-10-11 |
| 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.