CAPE ELIZABETH FAMILY MEDICINE, LLC (NPI# 1154543130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154543130 |
| Entity Type | Organization |
| Organization Name | CAPE ELIZABETH FAMILY MEDICINE, LLC |
| Practice Address |
1226 Shore Rd Cape Elizabeth ME 04107-2123 |
| Mailing Address |
301 Us Route 1 Building C Scarborough ME 04074-7609 |
| Practice Telephone | 2077994050 |
| Practice Fax Number | 2077994758 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-12-29 |
| Authorized Official Name | DR. CRAIG E JOHNSON (OWNER) |
| Authorized Official Telephone | 2077994050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 135170000 | 05 |
| Street Address |
1226 SHORE RD |
| City | CAPE ELIZABETH |
| State | ME |
| Zip Code | 04107-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851661516 | Max Health Maine LLC | Clinic/Center | 1226 Shore Rd, Max Health Maine LLC, Cape Elizabeth, ME 04107-2123 | 2012-01-11 |
| 1629274543 | Terry Ann Scriven | Family Medicine | 1226 Shore Rd, Cape Elizabeth, ME 04107-2123 | 2007-06-26 |
| 1174745814 | Jessica Solky Butzel | Psychologist | 1226 Shore Rd, Cape Elizabeth, ME 04107-2123 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733860 | Brooke Flaherty | Physical Therapist | 8-10 Hill Way, Cape Elizabeth, ME 04107 | 2020-06-08 |
| 1154794758 | Gentle Family Dentistry | Health Maintenance Organization | 4 Scott Dyer Road, Cape Elizabeth, ME 04107 | 2015-11-04 |
| 1871992107 | Rian Branch | Physical Therapist | 9 Hemlock Hill Rd, Cape Elizabeth, ME 04107 | 2014-08-22 |
| 1437580859 | Through These Doors | Case Management | 100 Humphreys Road, Cape Elizabeth, ME 04107 | 2013-12-11 |
| 1104177633 | Nutrition Solutions By Design, LLC | Dietitian, Registered | 50 Woodland Road, Cape Elizabeth, ME 04107 | 2012-09-24 |
| 1942403456 | Cape Elizabeth Dental Assoc Pa | Dentist | 1232 A Shore Road, Cape Elizabeth, ME 04107 | 2007-06-11 |
| 1356560205 | Patricia R Bittermann | Occupational Therapist | 480 Mitchell Road, Cape Elizabeth, ME 04107 | 2007-04-25 |
| 1750434353 | Marcia Gail Rosenthal | Speech-Language Pathologist | 10 Sunny Bank Road, Cape Elizabeth, ME 04107 | 2007-01-19 |
| 1134281298 | Joseph Schenkel | Psychologist | 32 Belfield Ave, Cape Elizabeth, ME 04107 | 2006-12-15 |
| 1629099361 | David W Trussell | Dentist | 176 Ocean House Road, Cape Elizabeth, ME 04107 | 2006-07-21 |
| Find all providers in zip 04107 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679815690 | Christopher M. Hunt | Family Medicine | 12 Sea View Ave, Cape Elizabeth, ME 04107-1024 | 2013-03-18 |
| 1629274543 | Terry Ann Scriven | Family Medicine | 1226 Shore Rd, Cape Elizabeth, ME 04107-2123 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887025 | Down East Community Hospital | Family Medicine | 1039 Main St, East Machias, ME 04630 | 2020-10-08 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1649889874 | Kateri Jeffery | Family Medicine | 12 Shuman Ave Ste 3, Augusta, ME 04330-6020 | 2020-07-23 |
| 1063064285 | Victoria A Deane | Family Medicine | 37 Fall Brook St, Portland, ME 04103-4224 | 2019-07-09 |
| 1265961148 | Full Circle America LLC | Family Medicine | 73 Cedar Ln, Nobleboro, ME 04555-8664 | 2017-06-05 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1730541749 | Benjamin Slocum | Family Medicine | 126 Shaker Rd, Gray, ME 04039-9629 | 2016-03-28 |
| 1295129393 | Oren Gersten | Family Medicine | 27 Ocean St Ste 3, South Portland, ME 04106-2854 | 2015-03-26 |
| 1205240678 | Martha Gilman | Family Medicine | 66 Leighton Rd Ste 2, Falmouth, ME 04105-2225 | 2014-06-13 |
| 1568875565 | Thomas Albert | Family Medicine | 300 Professional Dr Ste 2c, Scarborough, ME 04074-8897 | 2014-06-06 |
| Find all providers with the same taxonomy | ||||
| City | CAPE ELIZABETH |
| Zip Code | 04107 |
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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.