MAINE MOBILE MRI ASSOCIATES (NPI# 1235567843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235567843 |
| Entity Type | Organization |
| Organization Name | MAINE MOBILE MRI ASSOCIATES |
| Practice Address |
35 Medical Center Pkwy Augusta ME 04330-8160 |
| Mailing Address |
Po Box 1849 Lewiston ME 04241-1849 |
| Practice Telephone | 2076261000 |
| Mailing Telephone | 2077842554 |
| Mailing Fax Number | 2077775363 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Authorized Official Name | PETER GIUSTRA (MANAGING PARTNER) |
| Authorized Official Telephone | 2077842554 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINE MOBILE MRI ASSOCIATES - AUGUSTA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649607524 | Maine Mobile Mri Associates | Radiology | 149 North St, Waterville, ME 04901-4974 | 2013-10-09 |
| 1902233885 | Maine Mobile Mri Associates | Radiology | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2013-10-09 |
| 1518944313 | Maine Mobile Mri Associates | Radiology | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2005-12-22 |
| Street Address |
35 MEDICAL CENTER PKWY |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-8160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121171 | Eric W Barry | Specialist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2005-08-10 |
| 1205433976 | Julie Cummings | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2020-10-06 |
| 1023630266 | Jamie Sue Boutin | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2020-05-11 |
| 1861026296 | Michelle Tocher | Advanced Practice Midwife | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2020-02-25 |
| 1831749167 | Ashley Ellis | Occupational Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-09-18 |
| 1104472083 | Dianna Alexander | Social Worker | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-15 |
| 1952957003 | Susan Noyes | Occupational Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-14 |
| 1154977635 | Andaria Crespi | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-12 |
| 1497309793 | Katie Lynn Bessey | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-07-25 |
| 1295394997 | Kyle Scherer | Occupational Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841391570 | Sathy Gupta | Radiology | 1 Freedom Way (237), Augusta, GA 30904-6285 | 2006-09-26 |
| 1134172547 | Karl E Weingarten | Radiology | 630 13th Street, Suite 250, Augusta, GA 30901 | 2006-05-18 |
| 1649269440 | Seth M Hardy | Radiology | 28 Arsenal St, Augusta, ME 04330-5226 | 2005-10-14 |
| 1053317164 | Peter J Mascetta | Radiology | 6 East Chestnut Street, Augusta, ME 04333-0001 | 2005-06-23 |
| 1619474848 | Freyli Josefina Bustamante | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2018-04-13 |
| 1063861045 | Corey Garvin | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2016-06-09 |
| 1801244587 | Brian Sifrig | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2016-06-02 |
| 1851796270 | Ana R Fernandes Longuino | Radiology | 1120 15th St, Augusta, GA 30912-0001 | 2014-10-28 |
| 1093132979 | Hanping Wu | Radiology | 1120 15th St, Augusta, GA 30912-7101 | 2014-03-28 |
| 1932532900 | Lorie Stumpo | Radiology | 1120 15th St, Room Ba-1403, Augusta, GA 30912-0004 | 2013-08-14 |
| Find all providers in AUGUSTA | ||||
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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.