BRAD CUSHING (NPI# 1184718694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184718694 |
| Entity Type | Individual |
| Full Name | BRAD CUSHING |
| Credential | MD |
| Practice Address |
887 Congress St. Portland ME 04102 |
| Mailing Address |
301 Us Route 1 Building C Scarborough ME 04074-7609 |
| Practice Telephone | 2077742381 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
014348 | ME | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
014348 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 290140099 | 05 | |
| NH | 30010638 | 05 |
| Street Address |
887 CONGRESS ST. |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346320538 | Robert J Winchell | Surgery | 887 Congress St., Portland, ME 04106 | 2006-10-16 |
| 1215023973 | Julianne B Ontengco | Nurse Practitioner | 887 Congress St., Portland, ME 04102 | 2006-10-04 |
| 1780779132 | David L Ciraulo | Surgery | 887 Congress St., Suite 210, Portland, ME 04102 | 2006-10-03 |
| 1841385440 | Gretchen L Arnold | Dietitian, Registered | 887 Congress St., Suite 320, Portland, ME 04102 | 2006-10-03 |
| 1568557916 | David E Clark | Surgery | 887 Congress St., Portland, ME 04102 | 2006-10-03 |
| 1215020755 | Carrie A Gordon | Pediatrics | 887 Congress St., Suite 320, Portland, ME 04102 | 2006-10-02 |
| 1154415586 | Judith C Kerr | Nurse Practitioner | 887 Congress St., Portland, ME 04102 | 2006-10-02 |
| 1023102449 | Virginia A Eddy | Surgery | 887 Congress St., Portland, ME 04102 | 2006-10-02 |
| 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 | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497776488 | Ts Billings, LLC | Surgery | 501 N Graham St Ste 130, Portland, OR 97227-1675 | 2006-07-22 |
| 1073564423 | Karen J Brasel | Surgery | 3181 Sw Sam Jackson Park Rd # L223, Portland, OR 97239-3011 | 2006-05-12 |
| 1598735490 | William Broughton Long IIi | Surgery | 501 N Graham, Suite # 580, Portland, OR 97227 | 2006-01-24 |
| 1134324551 | Laszlo Nicholas Kiraly | Surgery | 3181 Sw Sam Jackson Park Rd, L611, Portland, OR 97239-3011 | 2007-06-16 |
| 1285738310 | Maine Medical Partners | Surgery | 887 Congress St, Suite 210, Portland, ME 04102-3100 | 2006-09-11 |
| 1649389677 | Bruce Chung | Surgery | 887 Congress St, Portland, ME 04102-3100 | 2006-08-30 |
| 1609882299 | Richard James Mullins | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-01 |
| 1285615781 | Susan Rowell | Surgery | 3181 Sw Sam Jackson Park Rd, L611, Portland, OR 97239-3011 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023351368 | Thomas Paul Nowakowski | Surgery | 417 State St Ste 340, Bangor, ME 04401-6634 | 2013-04-05 |
| 1730470477 | Chiajung Karen Lu | Surgery | 12 High St Ste 401, Lewiston, ME 04240-7690 | 2011-04-28 |
| 1942443627 | Sasha Sotirovic | Surgery | 489 State St, Bangor, ME 04401-6616 | 2009-04-11 |
| 1669610960 | Mark Grant | Surgery | 489 State St, Bangor, ME 04401-6616 | 2009-01-26 |
| 1770775421 | Rony J Ramia | Surgery | 489 State St, Bangor, ME 04401-6616 | 2007-08-16 |
| 1881894012 | Amy Teresa Fenwick | Surgery | 489 State St, Bangor, ME 04401-6616 | 2007-07-25 |
| 1801803523 | Sanjay Gupta | Surgery | 12 High St, Ste 401, Lewiston, ME 04240-7676 | 2006-08-02 |
| 1033130612 | David J Burke | Surgery | 12 High St, Ste. 401, Lewiston, ME 04240-7676 | 2006-07-21 |
| 1790711430 | Rafael J Grossmann | Surgery | 489 State St, Bangor, ME 04401-6616 | 2006-06-24 |
| 1346229077 | Larry O Hopperstead | Surgery | 12 High St, Ste 401, Lewiston, ME 04240-7634 | 2006-01-11 |
| 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.