HANS BOEDEKER (NPI# 1275594343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275594343 |
| Entity Type | Individual |
| Full Name | HANS BOEDEKER |
| Credential | MD |
| Practice Address |
10 Hospital Dr Bridgton ME 04009-1148 |
| Practice Telephone | 2076476120 |
| Practice Fax Number | 2076476013 |
| Mailing Telephone | 2076476120 |
| Mailing Fax Number | 2076476013 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2012-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
015792 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
10 HOSPITAL DR |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538258 | Paul Monte Alexander | Nurse Anesthetist, Certified Registered | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2005-06-16 |
| 1578113767 | Molly Elizabeth Cahill | Physical Therapist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2019-09-19 |
| 1578074837 | Charles D Burnette | Speech-Language Pathologist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2017-10-13 |
| 1629526306 | Richard H Hart | Physical Therapist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2016-09-12 |
| 1528514056 | Bethanny Araujo | Physical Therapist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2016-08-25 |
| 1861947442 | Emily Hardy | Physical Therapist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2016-08-24 |
| 1376917443 | Jennifer Cyr | Pharmacist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2015-11-30 |
| 1477937266 | Jodi Marie Janda | Physical Therapist | 10 Hospital Dr, Bridgton Hospital Therapy Services, Bridgton, ME 04009-1148 | 2015-07-13 |
| 1558745281 | Emily Perro | Occupational Therapist | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2015-07-13 |
| 1508249848 | Anne-marie Bell | Nurse Practitioner | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2015-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1316435407 | Caitlin D Ambo | Counselor | 32 No High Street, Bridgton, ME 04009 | 2018-04-25 |
| 1205215290 | Brianna J Meister | Counselor | 37 No High Street, Bridgton, ME 04009 | 2015-05-22 |
| 1013120898 | Maine Administrative School District No 61 | Local Education Agency (LEA) | 900 Bridgton Road, Bridgton, ME 04009 | 2007-05-08 |
| 1114051984 | R. Andrew Derstine | Counselor | 236a Portland Rd, Bridgton, ME 04009 | 2007-03-15 |
| 1184784878 | Good Neighbors, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Sandy Creek Rd, Bridgton, ME 04009 | 2006-12-11 |
| 1578593570 | Lake Region Physical Therapy Pa | Physical Therapist | 593 Harrison Rd, Bridgton, ME 04009 | 2006-07-04 |
| 1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
| 1164611703 | Liane Muller, D.o., Pa | Clinic/Center | 63 Main St, Suite A, Bridgton, ME 04009 | 2007-10-19 |
| 1376614842 | Liane M Muller | Neuromusculoskeletal Medicine & OMM | 63 Main Street, Suite A, Bridgton, ME 04009 | 2006-11-13 |
| Find all providers in zip 04009 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518131168 | Rodrigo Otavio Boff Maegawa | Internal Medicine | 33 Whiting Hill Road, Eastern Maine Medical Center, Brewer, ME 04412-1004 | 2008-04-15 |
| 1285830554 | Brian Roger Haney | Internal Medicine | 105 Topsham Fair Mall Rd Unit 1, Topsham, ME 04086 | 2007-06-25 |
| 1295755635 | Astrid C Andreescu | Internal Medicine | 33 Whiting Hill Rd Ste 21, Brewer, ME 04412-1022 | 2006-07-20 |
| 1720025588 | Charles K Tashima | Internal Medicine | 329 Maine Street, Brunswick, ME 04011 | 2006-06-01 |
| 1932165990 | Mainegeneral Health Associates Dba Oncology Associates | Internal Medicine | Oncology Associates, 149 North St, Waterville, ME 04901 | 2006-04-26 |
| 1205896107 | Maine Center for Cancer Medicine & Blood Disorders, P.a. | Internal Medicine | 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 | 2006-03-24 |
| 1477524387 | Preston H Dalglish Jr. | Internal Medicine | 26 W Cole Rd, Biddeford, ME 04005-9407 | 2006-01-30 |
| 1386615201 | Kurt S Ebrahim | Internal Medicine | 2 Independence Dr, Kennebunk, ME 04043-6078 | 2006-01-30 |
| 1487651584 | Christian Anton Thomas | Internal Medicine | 100 Campus Drive, Suite 108, Scarborough, ME 04074 | 2005-07-05 |
| 1205838570 | David Clark Caldwell | Internal Medicine | 12 High St, Ste 205, Lewiston, ME 04240-7676 | 2005-06-01 |
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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.