DR. MARK L SHAPIRO (NPI# 1164405270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164405270 |
| Entity Type | Individual |
| Full Name | DR. MARK L SHAPIRO |
| Credential | M.D. |
| Practice Address |
93 Campus Ave I2 Wing Lewiston ME 04240-6030 |
| Mailing Address |
C/o St Marys Health System - Provider Enrollment Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 2077778650 |
| Practice Fax Number | 2077778641 |
| Mailing Telephone | 2077778950 |
| Mailing Fax Number | 2077778800 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD23567 | ME | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 2006-01252 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 219511 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 1431R | 01 |
| MA | 2021536 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245515733 | Mark Ellis Shapiro | Pharmacist | 100 Enterton Rd, Costco Pharmacy Dept. 749, Mount Laurel, NJ 08054-6103 | 2011-10-15 |
| 1275610842 | Mark B. Shapiro | Chiropractor | 3300 Webster St Ste 408, Oakland, CA 94609-3149 | 2006-11-01 |
| 1003914680 | Mark A Shapiro | Family Medicine | 10 B Medical Dr, Port Jefferson Station, NY 11776 | 2006-09-20 |
| 1922103522 | Mark Johnathan Shapiro | Physician Assistant | Audie Murphy Va Hospital 7400 Merton Minter Blvd, San Antonio, TX 78229 | 2006-09-14 |
| 1154326106 | Mark Shapiro | Dentist | 28052 Espinoza, Mission Viejo, CA 92692-2159 | 2005-06-16 |
| 1720246309 | Mark Shapiro | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Madison Ave Fl 4, Carol G. Simon Cancer Center Suite 4101, Morristown, NJ 07960-6136 | 2008-05-30 |
| 1437281300 | Mark Shapiro | Internal Medicine | 87 Cambridge Park Drive, Wyeth Research, Clinical R&d, Cambridge, MA 02140 | 2007-03-09 |
| 1336251446 | Mark Grant Shapiro | Internal Medicine | 7901 Frost St, San Diego, CA 92123 | 2006-08-31 |
| 1104866037 | Mark Shapiro | Specialist | 4355 147th St, Flushing, NY 11355-1736 | 2006-06-08 |
| 1912962275 | Mark H. Shapiro | Internal Medicine | 631 E Grand Ave, Escondido, CA 92025-4402 | 2006-04-19 |
| Street Address |
93 CAMPUS AVE I2 WING |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356662753 | Leonard Michael Copertino | Surgery | 93 Campus Ave I2 Wing, Lewiston, ME 04240-6030 | 2010-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083731103 | Barry A. Smith | Surgery | 307 Saint Johns Way Ste 4, Lewiston, ID 83501-2435 | 2007-03-23 |
| 1922184613 | Maria G Ikossi | Surgery | 99 Campus Ave Ste 401, Lewiston, ME 04240 | 2006-10-27 |
| 1275589905 | Christopher Al Moreno | Surgery | 307 St. Johns Way, Suite 11, Lewiston, ID 83501 | 2006-05-25 |
| 1841245354 | Joyce Arlene Majure | Surgery | 307 St. Johns Way Suite 11, Lewiston, ID 83501 | 2006-05-23 |
| 1134189434 | Catherine E Oconnor | Surgery | 99 Campus Ave., Suite 401, St Mary's Surgical Associates, Lewiston, ME 04240-6045 | 2006-03-23 |
| 1124097415 | Thomas L Moore | Surgery | 106 Campus Ave, Lewiston, ME 04240 | 2006-03-17 |
| 1326010695 | Michael Anthony Ricci | Surgery | Central Maine Cardiovascular Surgery, 60 High Street, Lewiston, ME 04240 | 2006-02-02 |
| 1497731269 | Lisa A Rutstein | Surgery | 12 High St Ste 205, Lewiston, ME 04240-7689 | 2005-12-22 |
| 1467800227 | Niagara Medicine, PC | Surgery | 5300 Military Rd, Lewiston, NY 14092-1903 | 2016-06-01 |
| 1497042998 | Roberto Javier Vidri Alonso-rochi | Surgery | 99 Campus Ave Ste 401, St. Mary's Surgical Associates, Lewiston, ME 04240-6045 | 2011-07-05 |
| Find all providers in LEWISTON | ||||
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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.