BENJAMIN MICHAEL LANNON (NPI# 1225170624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225170624 |
| Entity Type | Individual |
| Full Name | BENJAMIN MICHAEL LANNON |
| Credential | MD |
| Practice Address |
778 Main St Suite 2 South Portland ME 04106-5447 |
| Practice Telephone | 2073587600 |
| Practice Fax Number | 2077617019 |
| Mailing Telephone | 2073587600 |
| Mailing Fax Number | 2077617019 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 217837 | MA | Allopathic & Osteopathic Physicians |
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
231397 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
778 MAIN ST SUITE 2 |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-5447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664831 | Nancy Apel Carroll | Nurse Practitioner | 778 Main St, Suite 2, South Portland, ME 04106-5447 | 2005-10-27 |
| 1619527751 | Lenore Chesnutt | Nurse Practitioner | 778 Main St, South Portland, ME 04106-5447 | 2019-09-19 |
| 1538406137 | Joanne C Boeschenstein | Social Worker | 778 Main St, South Portland, ME 04106-5447 | 2013-01-16 |
| 1467713792 | Amanda D Brownell | Pediatrics | 778 Main St, South Portland, ME 04106-5447 | 2012-06-04 |
| 1477692010 | Family Health Center of Southern Maine, P.a. | Family Medicine | 778 Main St, Suite #1, South Portland, ME 04106-5447 | 2007-02-06 |
| 1114941937 | John Edward Kazilionis | Family Medicine | 778 Main St, Suite 1, South Portland, ME 04106-5447 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104921535 | Maine Medical Partners | Obstetrics & Gynecology | 887 Congress St, Suite 200, Portland, ME 04102-3100 | 2006-09-13 |
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on BENJAMIN MICHAEL LANNON.
| 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.