MARC A HODROFF (NPI# 1174560221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174560221 |
| Entity Type | Individual |
| Full Name | MARC A HODROFF |
| Credential | M.D. |
| Practice Address |
195 Fore River Parkway Suite 310 Portland ME 04102-2715 |
| Mailing Address |
144 State St Portland ME 04101-3776 |
| Practice Telephone | 2075235901 |
| Practice Fax Number | 2075235902 |
| Mailing Telephone | 2078793000 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2008-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 016495 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
195 FORE RIVER PARKWAY SUITE 310 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194705038 | John Henry Dorsey Jr. | Podiatrist | 195 Fore River Parkway, Suite 120, Portland, ME 04102 | 2006-01-18 |
| 1285967877 | Maine Orthotic & Prosthetic Rehab Services Inc | Durable Medical Equipment & Medical Supplies | 195 Fore River Parkway, Nefas Suite 210, Portland, ME 04102 | 2009-09-14 |
| 1487848727 | All About Women Pa | Obstetrics & Gynecology | 195 Fore River Parkway, Suite 440, Portland, ME 04102 | 2007-08-29 |
| 1578786802 | Rosa Mojdehi | Obstetrics & Gynecology | 195 Fore River Parkway, All About Women, Portland, ME 04102 | 2007-04-11 |
| 1356440085 | Melissa L. Tsomides | Physician Assistant | 195 Fore River Parkway, Suite 420, Portland, ME 04102 | 2006-09-21 |
| 1417982455 | Ann L. Trask | Specialist | 195 Fore River Parkway, Suite 440, Portland, ME 04102 | 2006-07-11 |
| 1578506143 | Gregory S Adey | Urology | 195 Fore River Parkway, Suite 310, Portland, ME 04101-2715 | 2006-06-13 |
| 1376591123 | Portland Surgical Associates | Surgery | 195 Fore River Parkway, Suite 420, Portland, ME 04102 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376885418 | Sasha Courand Druskin | Urology | 2226 Nw Pettygrove St, Portland, OR 97210-2608 | 2013-03-26 |
| 1871837468 | Kirit S Shah M.d., P.C. | Urology | 171 Ne 102nd Ave, Portland, OR 97220-4169 | 2012-11-20 |
| 1730484544 | James Bresee | Urology | 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 | 2011-01-26 |
| 1538332291 | James T Pappas, Md, PC | Urology | 5050 Ne Hoyt St Ste 428, Portland, OR 97213-2984 | 2008-04-02 |
| 1679775241 | James Francis Tycast | Urology | 2230 Nw Pettygrove St Ste 210, Portland, OR 97210-2659 | 2007-06-04 |
| 1255546982 | Nicholas A Boncher | Urology | 5050 Ne Hoyt St Ste 210, Portland, OR 97213-2980 | 2007-05-14 |
| 1740329366 | Jaroslava Zoubek | Urology | 800 Sw 13th Ave Ste 663, Portland, OR 97205-1902 | 2007-02-06 |
| 1992809966 | Bruce Henry Blank | Urology | 164 Nw Macleay Blvd, Portland, OR 97210-3323 | 2006-09-12 |
| 1396854121 | Michael J Raife | Urology | 727 S Wahanna Road, Portland, OR 97138-7735 | 2006-08-29 |
| 1184660813 | Kirit S Shah | Urology | 171 Ne 102nd Avenue, Portland, OR 97220-4169 | 2006-06-21 |
| Find all providers in PORTLAND | ||||
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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.