DONALD R BURGESS (NPI# 1336101104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336101104 |
| Entity Type | Individual |
| Full Name | DONALD R BURGESS |
| Credential | M.D. |
| Practice Address |
3 Shape Dr Kennebunk ME 04043-6601 |
| Mailing Address |
1 Medical Center Dr P.o. Box 626 Biddeford ME 04005-9422 |
| Practice Telephone | 2074678930 |
| Practice Fax Number | 2079858459 |
| Mailing Telephone | 2072829080 |
| Mailing Fax Number | 2079858459 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2011-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
014097 | ME | Allopathic & Osteopathic Physicians |
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
014097 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | CIGNA | 610036401 | 01 |
| ME | HARVARD PILGRIM | MNT053 | 01 |
| ME | AETNA | 1041865 | 01 |
| NH | 30208022 | 05 | |
| ME | ANTHEM | 018435 | 01 |
| ME | 248080099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972699270 | Donald H Burgess | Dentist | 1679 Crooked Oak Drive, Lancaster, PA 17601-4207 | 2006-10-05 |
| Street Address |
3 SHAPE DR |
| City | KENNEBUNK |
| State | ME |
| Zip Code | 04043-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487062089 | Miriam Brown Stevens | Social Worker | 3 Shape Dr, Kennebunk, ME 04043-6601 | 2014-07-27 |
| 1245512342 | Jennifer Lea Liguori | Social Worker | 3 Shape Dr, Kennebunk, ME 04043-6601 | 2011-09-14 |
| 1053512178 | Harriet Sanclemente | Nurse Practitioner | 3 Shape Dr, Kennebunk, ME 04043-6601 | 2007-05-29 |
| 1316080146 | Meredith A Myers | Nurse Practitioner | 3 Shape Dr, Kennebunk, ME 04043-6601 | 2007-02-14 |
| 1083649610 | Sarah E Babine | Psychiatry & Neurology | 3 Shape Dr, Kennebunk, ME 04043-6601 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397032 | Savida Agency, Inc. | Psychiatry & Neurology | 21a Western Ave, Suite 1, Kennebunk, ME 04043 | 2019-07-02 |
| 1578018610 | Christine Fecko | Social Worker | 14 Summer Street, Kennebunk, ME 04043 | 2016-08-18 |
| 1861841785 | Sarah Pollack | Pharmacist | 18 Blue Wave Professional Center, Kennebunk, ME 04043 | 2016-06-10 |
| 1417305566 | You&me Psychological and Consultation Services (ypcs) | Psychologist | Room 201, 8-7, Yanghwaro 12gil, Mapo-gu, Seoul, KOREA 04043 | 2016-05-31 |
| 1679933972 | Kimberly Kasten | Physician Assistant | 2 Livewell Drive, South Tower, Suite 200, Kennebunk, ME 04043 | 2016-02-29 |
| 1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
| 1447649280 | Mark Ouellette | Nurse Practitioner | 2 Livewell Drive - North Tower, Kennebunk, ME 04043 | 2015-01-16 |
| 1902155005 | Kristina Caron Occupational Therapy, LLC | Occupational Therapist | 27 Fletcher St Apt 2, Kennebunk, ME 04043 | 2012-09-05 |
| 1174838361 | Tracy Lynn Mason | Occupational Therapist | 87 Fletcher St., Maine Regional School Unit 21, Kennebunk, ME 04043 | 2010-08-11 |
| 1538392261 | Susanne Randall | In Home Supportive Care | 3 Elannas Way, Kennebunk, ME 04043 | 2009-08-28 |
| Find all providers in zip 04043 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295799500 | Barry Hugo | Pediatrics | 4 Shape Dr, Kennebunk, ME 04043-6601 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144468968 | Wende Pediatrics | Pediatrics | 518 Us Route 1, Suite A-7, Kittery, ME 03904 | 2009-02-02 |
| 1013002534 | Jennifer Power | Pediatrics | 45 Forest Falls Drive, Yarmouth, ME 04096 | 2006-10-03 |
| 1902992233 | Julia D. Lockwood | Pediatrics | 45 Forest Falls Drive, Yarmouth, ME 04096 | 2006-10-05 |
| 1649365016 | Stephen S. Digiovanni | Pediatrics | 22 Bramhall St, Portland, ME 04102-3134 | 2006-10-03 |
| 1124058151 | Paulette Y. Coty | Pediatrics | 1068 Union St, Bangor, ME 04401-3016 | 2006-07-04 |
| 1275574311 | Jonathan T Fanburg | Pediatrics | 5 Bucknam Road, Suite 1d, Falmouth, ME 04105-1208 | 2006-06-09 |
| 1568402691 | Bruce R Brown | Pediatrics | 895 Union St, Suite 12, Bangor, ME 04401-3053 | 2006-06-07 |
| 1568424430 | Gary J Allegretta | Pediatrics | 329 Maine St, Brunswick, ME 04011-3310 | 2006-04-05 |
Please comment or provide details below to improve the information on DONALD R BURGESS.
| 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.