MRS. BETH ANN COLLAMORE (NPI# 1184712572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184712572 |
| Entity Type | Individual |
| Full Name | MRS. BETH ANN COLLAMORE |
| Credential | M.D. |
| Practice Address |
163 Van Buren Rd Caribou ME 04736-3567 |
| Practice Telephone | 2074983111 |
| Practice Fax Number | 2074983126 |
| Mailing Telephone | 2074983111 |
| Mailing Fax Number | 2074983126 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD15370 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
163 VAN BUREN RD |
| City | CARIBOU |
| State | ME |
| Zip Code | 04736-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548402 | Robert Bassett | Orthopaedic Surgery | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2005-09-15 |
| 1215541479 | Cameron Ryan Hartford | Physical Therapy Assistant | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2020-09-04 |
| 1740892322 | Letisha Leman | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2020-08-17 |
| 1083256150 | Ian Blake Sotomayor | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-10 |
| 1396387577 | Katelyn Marie Chapman | Physical Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1144862335 | Joshua Ellis Turbide | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1922640101 | Victoria Marilyn Mcintyre | Physical Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1750923942 | Mitchell Vaughn Wheeler | Physical Therapy Assistant | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1265910723 | Dimas Yusuf | Internal Medicine | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2018-08-06 |
| 1386150571 | Renee Richards | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2017-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849998 | Eastern Aroostook Regional School | Local Education Agency (LEA) | 75 Glenn St, Caribou, ME 04736 | 2009-10-28 |
| 1992933675 | Philip St. Peter | In Home Supportive Care | 77 Grimes Rd, Caribou, ME 04736 | 2009-07-01 |
| 1063646982 | Cheri Melody Hayes | Occupational Therapist | 50 Page Ave, Caribou, ME 04736 | 2009-05-06 |
| 1003059189 | Maureen N. Murchison | Rehabilitation Counselor | 159 Bennett Dr Ste 201, Caribou, ME 04736 | 2009-04-20 |
| 1083864441 | Amy L. Deprey | Counselor | 43 Hatch Dr Ste 210, Caribou, ME 04736 | 2008-09-23 |
| 1043467079 | Julie M Bouchard | Physical Therapist | 118 Bennett Dr Ste 140, Caribou, ME 04736 | 2008-08-21 |
| 1770746448 | Andrea L Reid | Social Worker | 20 Old Van Buren Road, Caribou, ME 04736 | 2008-07-03 |
| 1265627863 | Aimee Victoria Mcclellan | Social Worker | 92 Bennett Drive, Caribou, ME 04736 | 2007-09-07 |
| 1245421387 | David Terry Letourneau | Specialist/Technologist | 7 Russ Street, Center for Integrated Neuro-rehab, Caribou, ME 04736 | 2007-08-05 |
| 1851512024 | Lisa Brigitte Deschenes | Physical Therapist | 10 Bernadette Street, Caribou, ME 04736 | 2007-05-02 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407381353 | Paul Yannopoulos | Emergency Medicine | Southern Maine Health Care of 1 Medical Center Drive, Biddeford, ME 04005-0400 | 2017-04-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1265886956 | Brandon Elliot Giberson | Emergency Medicine | 14 Maine St # 44, Brunswick, ME 04011-2049 | 2016-04-19 |
| 1902232473 | David F. Scullion | Emergency Medicine | 480 West Rd., Portage, ME 04768 | 2013-09-17 |
| 1942647185 | Jason F Hine | Emergency Medicine | E1 Clairmont Ct, Portland, ME 04103-4459 | 2013-05-29 |
| 1356594477 | Vein and Wound Care Pa | Emergency Medicine | 93 Campus Ave., Lewiston, ME 04240 | 2008-11-03 |
| 1629112958 | Mark Alan Rautenberg | Emergency Medicine | 17 Merrill Brook Dr, Scarborough, ME 04074-9194 | 2007-02-19 |
| 1750432530 | John Tyler | Emergency Medicine | 185 Tamworth Farm Rd, Blue Hill, ME 04614-5723 | 2007-01-16 |
| 1346306263 | David J Stuchiner | Emergency Medicine | 191 Wilson Hill Rd, Auburn, ME 04210-8767 | 2006-12-28 |
| 1447315304 | Danice M Rinderknechnt | Emergency Medicine | 99 Grove St, Pittsfield, ME 04967-1120 | 2006-12-22 |
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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.