PROCTOLOGY ASSOCIATES OF MAINE PA (NPI# 1326058504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326058504 |
| Entity Type | Organization |
| Organization Name | PROCTOLOGY ASSOCIATES OF MAINE PA |
| Other Organization Name | COASTAL HEALTH AND WELLNESS |
| Practice Address |
214a Durham Rd Brunswick ME 04011-7225 |
| Practice Telephone | 2074062698 |
| Practice Fax Number | 2074062698 |
| Mailing Telephone | 2074062698 |
| Mailing Fax Number | 2074062114 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-05-24 |
| Authorized Official Name | DR. JOHN A PELLETIER (MANAGING PARTNER) |
| Authorized Official Telephone | 2074062698 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| coastal Health and wellness | Doing Business As Name - Organization |
| Street Address |
214A DURHAM RD |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-7225 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134326226 | Daniel J Reichenbach Md PC | Surgery | 3020 Shrine Rd, Brunswick, GA 31520-4743 | 2007-07-02 |
| 1851428056 | Tom Vann Willis Jr. | Surgery | F L T C 1131 Chapel Crossing Rd, Brunswick, GA 31524-0001 | 2007-02-27 |
| 1942300140 | Harold L Kent | Surgery | 3226f Hampton Ave Ste F, Brunswick, GA 31520-4205 | 2006-09-25 |
| 1780616904 | Stephen F Kitchen | Surgery | 3226 Hampton Ave Ste B, Brunswick, GA 31520-4257 | 2006-07-07 |
| 1568465599 | Nathaniel Hyde | Surgery | 121 Medical Center Dr, Ste 2550, Brunswick, ME 04011-2681 | 2005-05-23 |
| 1891979233 | Stephen F. Kitchen Md PC | Surgery | 3226 Hampton Ave Ste B, Brunswick, GA 31520-4257 | 2007-12-20 |
| 1740477082 | Turner W. Rentz Jr Md LLC | Surgery | 2500 Starling St, Suite 502, Brunswick, GA 31520-4265 | 2007-10-01 |
| 1124223227 | Golden Isles Center for General and Bariatric Surgery | Surgery | 3226 Hampton Ave, Suite F, Brunswick, GA 31520-4225 | 2007-06-19 |
| 1386845857 | Parkview Medical Associates, Pa | Surgery | 331 Maine St, Brunswick, ME 04011-3358 | 2007-05-30 |
| 1881801595 | Gregory Kelly | Surgery | 121 Medical Center Drive, Suite 2550, Brunswick, ME 04011 | 2007-05-16 |
| 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.