DR. MARCUS RICCIONI (NPI# 1275615551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275615551 |
| Entity Type | Individual |
| Full Name | DR. MARCUS RICCIONI |
| Credential | M.D. |
| Practice Address |
123 Medical Center Dr Brunswick ME 04011-2652 |
| Mailing Address |
174 S Freeport Rd Freeport ME 04032-6145 |
| Practice Telephone | 2077290181 |
| Mailing Telephone | 2078651819 |
| Mailing Fax Number | 2078654535 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 013669 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | HARVARD PILGRIM HEALTHCAR | F72448 | 01 |
| ME | AETNA | 2421688 | 01 |
| ME | CIGNA | 8561900 | 01 |
| ME | ANTHEM | 099877 | 01 |
| Street Address |
123 MEDICAL CENTER DR |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911841 | Philip S Crichton | Radiology | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2005-06-09 |
| 1972129005 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-24 |
| 1902422561 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-19 |
| 1699399931 | Abrianne Eagers | Registered Nurse | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-02 |
| 1629606934 | Morgan Cooper | Physical Therapist | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-03-31 |
| 1073020707 | Thomas Blake Hendrix | Internal Medicine | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2018-01-03 |
| 1215448048 | Kelly A Hoyt | Nurse Practitioner | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-10-19 |
| 1306357587 | Kristina Nocella | Physical Therapist | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-10-16 |
| 1760907224 | Jaime Norton | Occupational Therapist | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-08-07 |
| 1831612357 | Amanda Beth Behnke | Nurse Practitioner | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| 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 |
|---|---|---|---|---|
| 1265886956 | Brandon Elliot Giberson | Emergency Medicine | 14 Maine St # 44, Brunswick, ME 04011-2049 | 2016-04-19 |
| 1780052308 | Albany Medical College | Emergency Medicine | 730 Hoosick Rd, Brunswick, NY 12180-8777 | 2015-09-14 |
| 1740353507 | Robert H Miller | Emergency Medicine | 3400 Parkwood Dr, Brunswick, GA 31520-4755 | 2006-11-17 |
| 1033118880 | James J Lee | Emergency Medicine | 15 Gable Court, Brunswick, GA 31525-6738 | 2005-07-14 |
| 1477001972 | Emergency Physicians Inc | Emergency Medicine | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2016-09-14 |
| 1225458870 | Eliza Anila Jacob | Emergency Medicine | 2415 Parkwood Dr, Brunswick, GA 31520 | 2014-04-22 |
| 1043640204 | Bluewater Emergency Partners of Brunswick, LLC | Emergency Medicine | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2013-11-25 |
| 1013351303 | Caleb Powell | Emergency Medicine | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2013-04-17 |
| 1881974665 | Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care | Emergency Medicine | 329 Maine St, Brunswick, ME 04011-3310 | 2011-08-24 |
| 1811169030 | Annmarie Reich Lattanzi | Emergency Medicine | 14 Maine St, Box 44, Brunswick, ME 04011-2049 | 2008-03-27 |
| Find all providers in BRUNSWICK | ||||
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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.