KORRIE B BEVERLEY-WATERS (NPI# 1356608368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356608368 |
| Entity Type | Individual |
| Full Name | KORRIE B BEVERLEY-WATERS |
| Credential | D.O. |
| Practice Address |
655 Main St Saco ME 04072 |
| Mailing Address |
655 Main St Saco ME 04072-1543 |
| Practice Telephone | 2076023548 |
| Practice Fax Number | 2072943565 |
| Mailing Telephone | 2076023548 |
| Mailing Fax Number | 2072943565 |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | DO2535 | ME | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | DO2535 | ME | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 895 Union St, Suite 12, Bangor, ME 044013053 | 2079737979 | 2079479579 |
| Street Address |
655 MAIN ST |
| City | SACO |
| State | ME |
| Zip Code | 04072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699240226 | Cortney Elizabeth Binette | Emergency Medicine | 655 Main St, Saco, ME 04072-1699 | 2018-10-10 |
| 1124508924 | Mainehealth | Clinic/Center | 655 Main St, Saco, ME 04072-1543 | 2018-08-21 |
| 1588150783 | Ross Hanley | Physician Assistant | 655 Main St, Saco, ME 04072-1543 | 2018-07-11 |
| 1477042406 | Tricia E Garrett | Physician Assistant | 655 Main St, Saco, ME 04072-1543 | 2018-05-04 |
| 1316297690 | Nichole C Reader | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2012-09-14 |
| 1255690228 | Southern Maine Health Care | Clinic/Center | 655 Main St, Saco, ME 04072-1543 | 2012-05-11 |
| 1689953762 | Tara Jones Molloy | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2011-08-08 |
| 1134310618 | Garrett B Edwards | Neuromusculoskeletal Medicine & OMM | 655 Main St, Saco, ME 04072-1543 | 2007-08-08 |
| 1336342955 | Colleen Mayo | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2007-06-10 |
| 1629284344 | William Stephen Gefvert | Internal Medicine | 655 Main St, Saco, ME 04072-1543 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043786 | Maine Safe Ride Services | Non-emergency Medical Transport (VAN) | 32 Water St, Suite 4, Saco, ME 04072 | 2019-10-02 |
| 1821656810 | Rebecca Akins | Occupational Therapist | Mainely Kidz Pt, 895 Portland Rd., Saco, ME 04072 | 2019-06-04 |
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1861990103 | Morgan Dube | Specialist/Technologist | 21 Evergreen Dr, Saco, ME 04072 | 2018-01-31 |
| 1639603004 | Jodi Morris | Massage Therapist | 10 School Street 2nd Floor, Saco, ME 04072 | 2017-04-12 |
| 1073812665 | Elisabeth Geralyn Holdsworth | Specialist | 895 Portland Road, Saco, ME 04072 | 2011-03-22 |
| 1336378181 | Ah Inn Associates LLC | Assisted Living Facility | 100 Harbor Drive, Saco, ME 04072 | 2009-07-14 |
| 1326286634 | Bambi Morgan Delattre | Counselor | 655 Maine Street, Saco, ME 04072 | 2009-01-23 |
| 1215054143 | Meret Claudia Bainbridge | Acupuncturist | 35 Storer St, Saco, ME 04072 | 2007-03-24 |
| 1023104155 | Lynne M Tetreault | Pediatrics | 5 Scamman St., Saco, ME 04072 | 2006-10-05 |
| Find all providers in zip 04072 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619943917 | Kathryn Brandt | Neuromusculoskeletal Medicine & OMM | 13 Industrial Park Road, Saco, ME 04072 | 2006-02-27 |
| 1134310618 | Garrett B Edwards | Neuromusculoskeletal Medicine & OMM | 655 Main St, Saco, ME 04072-1543 | 2007-08-08 |
| 1043392749 | Christopher A Frothingham | Neuromusculoskeletal Medicine & OMM | 655 Main Street, Saco, ME 04072 | 2006-10-20 |
| 1881709517 | Billy Carlton Burge | Neuromusculoskeletal Medicine & OMM | 655 Main St, Saco, ME 04072-1543 | 2006-08-21 |
| 1104801968 | Jane E Carreiro | Neuromusculoskeletal Medicine & OMM | 655 Main St, Saco, ME 04072-1543 | 2005-12-14 |
| 1457336216 | Heather P Ferrill | Neuromusculoskeletal Medicine & OMM | 655 Main Street, Saco, ME 04072 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428848 | David D Keller Do PC | Neuromusculoskeletal Medicine & OMM | 195 Fore River Pkwy Ste 470, Portland, ME 04102-2787 | 2018-12-11 |
| 1659715738 | Maine Osteopathic Medicine, LLC | Neuromusculoskeletal Medicine & OMM | 146 Ocean St, Suite 2, South Portland, ME 04106-3664 | 2013-04-19 |
| 1114161874 | Timothy Christopher Kulikowski | Neuromusculoskeletal Medicine & OMM | 915 Union St Ste 4, Bangor, ME 04401-8603 | 2009-04-26 |
| 1720242357 | Daniel S Gibbons | Neuromusculoskeletal Medicine & OMM | 23 Durham Rd Ste 101, Freeport, ME 04032-6796 | 2008-07-14 |
| 1285896514 | Jennifer Lee Lakis | Neuromusculoskeletal Medicine & OMM | 14 Maine St # 14, Brunswick, ME 04011-2049 | 2008-06-27 |
| 1003006271 | Karen M Benezra | Neuromusculoskeletal Medicine & OMM | 62 Portland Rd Ste 21, Kennebunk, ME 04043-6650 | 2007-07-25 |
| 1508065210 | Joshua Iannetta | Neuromusculoskeletal Medicine & OMM | 632 Us Route 1, Scarborough, ME 04074-9794 | 2007-07-12 |
| 1265579015 | Bonnie Joan Sendzicki | Neuromusculoskeletal Medicine & OMM | 81 Blackguard Road, Waterford, ME 04088 | 2007-01-31 |
| 1760531180 | Christine Blake Smith | Neuromusculoskeletal Medicine & OMM | 114 Stroudwater St, Westbrook, ME 04092-4037 | 2007-01-09 |
| 1003984311 | Charles W Sullivan | Neuromusculoskeletal Medicine & OMM | 98 Second St, Hallowell, ME 04347-1368 | 2006-12-04 |
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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.