DR. DOUGLAS L JICHA


Address: 306 Us Route 1, Bldg C, Scarborough, ME 04074
Phone: 2078855742

DR. DOUGLAS L JICHA (NPI# 1306879325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306879325
Entity Type Individual
Full Name DR. DOUGLAS L JICHA
Credential MD
Practice Address 306 Us Route 1
Bldg C
Scarborough
ME 04074
Practice Telephone 2078855742
Practice Fax Number 2078851494
Mailing Telephone 2078855742
Mailing Fax Number 2078851494
Enumeration Date 2006-07-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
006810 ME Allopathic & Osteopathic Physicians

Office Location

Street Address 306 US ROUTE 1
BLDG C
City SCARBOROUGH
State ME
Zip Code 04074

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740283746 Lisa Peter Howard Dentist 306 Us Route 1, Ste D1, Scarborough, ME 04074-7640 2005-05-23
1285703025 Maine Rehabilitative Healthcare, LLC Physical Medicine & Rehabilitation 306 Us Route 1, Building B South, Scarborough, ME 04074-7640 2006-11-07
1245231976 Vincent Paul Herzog Physical Medicine & Rehabilitation 306 Us Route 1, Scarborough, ME 04074-7640 2005-08-03
1740281666 Robert James Mitchell Dentist 306 Us Route 1, Bldg. C-1, Scarborough, ME 04074-7640 2005-08-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407462443 Jennifer Marlowe Counselor Crossroads Maine 71-us-1, Scarborough, ME 04074 2020-09-16
1508475724 Whole Medicine LLC Family Medicine 2o Mussey Road, Suite 2, Scarborough, ME 04074 2020-07-23
1154957793 Maria Robin Libby Occupational Therapist 144 Us-1 #4, Scarborough, ME 04074 2020-03-16
1558902932 Daphne Berta Counseling P.C. Counselor 636 Route 1, Scarborough, ME 04074 2019-10-07
1619450574 Louise Valati Physical Therapist Piper Shores, 15 Piper Road, Scarborough, ME 04074 2018-09-07
1770001315 Emily Dunuwila Massage Therapist 51 Us Route One Suite R2, Scarborough, ME 04074 2017-09-04
1750808788 Jill Daicey Hutchison Physical Therapy Assistant 67 Pine Point Road, Scarborough, ME 04074 2017-08-30
1457887580 Rebecca Shaw Social Worker 119 Ash Swamp Road, Scarborough, ME 04074 2017-05-10
1184168767 Jessica Ann Kaake Occupational Therapist 308 Us Route 1 Ste E1, Scarborough, ME 04074 2016-12-15
1356895056 Nancy Gaudet Counselor 6 Catherine Drive, Scarborough, ME 04074 2016-08-10
Find all providers in zip 04074

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346618741 Carl E Bredenberg Jr. Surgery 8 Fox Hill Rd, Cape Elizabeth, ME 04107-2007 2015-09-02
1477830198 Maine Vein Center Associates, LLC Surgery 21 Northbrook Dr # B, Falmouth, ME 04105-1379 2011-11-09
1205086196 Edward Michael Friedman Surgery 134 Deep Cv, Raymond, ME 04071-6523 2008-09-26
1811382773 Vincent Noori Surgery 22 Bramhall St, Portland, ME 04102-3134 2015-03-30
1386056752 Michael N Neilson Surgery 35 Medical Center Pkwy, Augusta, ME 04330-8160 2014-05-20
1053750349 Peter Beaulieu Surgery 489 State St, Bangor, ME 04401-6616 2013-06-19
1770921462 Kimberly Taylor Malka Surgery 22 Bramhall St, Portland, ME 04102 2013-06-05
1134565492 Anna Marie Boniakowski Surgery 887 Congress St Ste 400, Portland, ME 04102-3163 2013-05-14
1548593270 Edward Alexander Mcgillicuddy Surgery 60 High St, Lewiston, ME 04240-7616 2009-09-14
1649430315 Christopher Hilles Byrne Surgery 489 State St, Vascular Care of Maine, Bangor, ME 04401-6616 2008-06-16
Find all providers with the same taxonomy

Competitor

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City SCARBOROUGH
Zip Code 04074

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Dataset Information

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.

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