DR. JACOB EMERSON CROTHERS (NPI# 1336433085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336433085 |
| Entity Type | Individual |
| Full Name | DR. JACOB EMERSON CROTHERS |
| Credential | M.D. |
| Practice Address |
Bates Mill No. 6 70 Lincoln Street, 3rd Floor Lewiston ME 04240 |
| Practice Telephone | 8009290926 |
| Mailing Telephone | 8009290926 |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2018-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 052724 | CT | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
052724 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICAID FOR CROTHERS | 008052299 | 01 |
| CT | MEDICARE FOR CROTHERS | D400163444 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 257 Greene St, New Haven, CT 065116940 | 1111111111 |
| Street Address |
BATES MILL NO. 6 70 LINCOLN STREET, 3RD FLOOR |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952395428 | Michael Eng | Family Medicine | 300 Main St, Lewiston, ME 04240-7007 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346712536 | Addiction Specialists, PC | Family Medicine | 2540 Us Route 202, Winthrop, ME 04364-3072 | 2018-12-28 |
| 1255732350 | Merideth Norris Pa | Family Medicine | 404 Lafayette Ctr, Kennebunk, ME 04043-6871 | 2014-09-08 |
| 1235467580 | Arvind Patel | Family Medicine | 166 New County Rd, Rockland, ME 04841 | 2009-11-25 |
| 1396780524 | Charles Roger Kendrick | Family Medicine | 93 York St, Kennebunk, ME 04043-7103 | 2006-06-19 |
| 1982647178 | Mark R Publicker | Family Medicine | 50 Park Rd, Westbrook, ME 04092-3176 | 2006-06-14 |
| 1619538782 | Gabrielle Alyson Bowker | Family Medicine | 17 Bishop St, Portland, ME 04103-2659 | 2019-06-27 |
| 1245731082 | Michael Eng, Integrative Medicine, Pllc | Family Medicine | 82 Main St, Bridgton, ME 04009-1128 | 2018-02-27 |
| 1972996304 | Merideth C Norris Pa | Family Medicine | 58 Portland Rd, Suite 18, Kennebunk, ME 04043-6656 | 2015-03-10 |
| 1518155969 | Paul J Balzer, Md | Family Medicine | 49 Pineland Dr, Suite 302a, New Gloucester, ME 04260-5119 | 2007-10-11 |
| 1063405041 | Joseph Py | Family Medicine | 400 Western Ave, South Portland, ME 04106-1704 | 2005-08-25 |
| Find all providers with the same taxonomy | ||||
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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.