SOUTHERN MAINE ALLERGY ASSOCIATES, PA (NPI# 1306963491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306963491 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MAINE ALLERGY ASSOCIATES, PA |
| Practice Address |
28 W Cole Rd Biddeford ME 04005-9428 |
| Mailing Address |
1050 Wall St W Ste 360 Lyndhurst NJ 07071-3604 |
| Practice Telephone | 2072846114 |
| Practice Fax Number | 2072826118 |
| Mailing Telephone | 2018217900 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | DR. VASSILY MIHAILOFF (OWNER AND PROVIDER) |
| Authorized Official Telephone | 2072846114 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 125300000 | 05 |
| Street Address |
28 W COLE RD |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005-9428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013959618 | Vassily Mihailoff | Allergy & Immunology | 28 W Cole Rd, Biddeford, ME 04005-9428 | 2006-06-11 |
| 1700119245 | Caroline Thompson | Psychologist | 28 W Cole Rd, Biddeford, ME 04005-9428 | 2009-09-16 |
| 1376727602 | James Milton Faulkner | Dentist | 28 W Cole Rd, Biddeford, ME 04005-9428 | 2007-12-21 |
| 1407041619 | Providers Care Pa | Family Medicine | 28 W Cole Rd, Biddeford, ME 04005-9428 | 2007-09-11 |
| 1336280700 | Francis R Beaudoin | Dentist | 28 W Cole Rd, Biddeford, ME 04005 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
Please comment or provide details below to improve the information on SOUTHERN MAINE ALLERGY ASSOCIATES, PA.
| 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.