MARTINS POINT HEALTHCARE (NPI# 1366474611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366474611 |
| Entity Type | Organization |
| Organization Name | MARTINS POINT HEALTHCARE |
| Practice Address |
331 Veranda St Portland ME 04104 |
| Mailing Address |
Po Box 9746 Portland ME 04104 |
| Practice Telephone | 2077913888 |
| Practice Fax Number | 2078287850 |
| Mailing Telephone | 2077913888 |
| Mailing Fax Number | 2078287850 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-05-22 |
| Authorized Official Name | JONATHAN HARVEY (CHEIF MEDICAL OFFICIER) |
| Authorized Official Telephone | 2076994755 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians | ||
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
331 VERANDA ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014198 | Linda K Morrison | Ophthalmology | 331 Veranda St, Portland, ME 04103-5545 | 2005-06-23 |
| 1326561564 | Katherine Smith | Nurse Practitioner | 331 Veranda St, Portland, ME 04103-5545 | 2017-07-19 |
| 1609304658 | Jessica B Mcconville | Nurse Practitioner | 331 Veranda St, Portland, ME 04103-5545 | 2017-06-02 |
| 1598298697 | Kristen Lang | Family Medicine | 331 Veranda St, Portland, ME 04103-5545 | 2017-04-05 |
| 1104369164 | Kimberly Wallingford Macvane | Physical Therapist | 331 Veranda St, Building 6, Rm 3311, Portland, ME 04103-5545 | 2016-11-23 |
| 1972974434 | Ashley Vadas | Social Worker | 331 Veranda St, Bldg. 6, Portland, ME 04103-5545 | 2015-10-09 |
| 1902274541 | Alliance Physical Therapy, LLC | Physical Therapist | 331 Veranda St, Building 6, Rm 3311, Portland, ME 04103-5545 | 2015-09-14 |
| 1780052795 | Austin Cary Stonebraker | Physical Therapist | 331 Veranda St, Building 6, Room 3311, Portland, ME 04103-5545 | 2015-09-08 |
| 1043688039 | Pinnacle Rehabilitation Network LLC | Physical Therapist | 331 Veranda St, Building 6, Room 3311, Portland, ME 04103-5545 | 2015-09-08 |
| 1114308277 | James Mcilhenny Riddleberger | Family Medicine | 331 Veranda St, Portland, ME 04103 | 2015-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902278294 | Daniel Nere | In Home Supportive Care | One Pleasant Street, Portland, ME 04104 | 2015-10-26 |
| 1932431798 | The Root Cellar | Public Health or Welfare | 94 Washington St., Portland, ME 04104 | 2010-02-04 |
| 1871744839 | Preble Street Resource Center - Adult Site | Case Management | 18 Portland Street, Portland, ME 04104 | 2008-10-08 |
| 1578713897 | Preble Street Resource Center - Logan Place | Case Management | 52 Fredric Street, Portland, ME 04104 | 2008-09-23 |
| 1740340132 | Woodfords Family Services | Community/Behavioral Health | 1037r Forest Ave, Portland, ME 04104 | 2006-12-08 |
| 1679668156 | Kevin Joseph Sommer | Pharmacist | 331 Veranda Street, Portland, ME 04104 | 2006-10-03 |
| 1164533766 | Charles Waite Maclin | Counselor | 39 Deering St, Portland, ME 04104 | 2006-08-31 |
| 1730166703 | Rhonda G Feldman | Physician Assistant | 5 Buckman Road Suit 1d, Mmp Orthopedics and Joint Specialist, Falmouth, ME 04104 | 2005-12-29 |
| 1437448826 | Catholic Charities of Maine | Social Worker | 66 State St, Portland, ME 04104 | 2011-04-06 |
| 1790955730 | Gail Elizabeth Clinton | Psychiatry & Neurology | 66 State St, Portland, ME 04104-3751 | 2008-03-05 |
| Find all providers in zip 04104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710783 | Christine Elizabeth O'connor | Family Medicine | 6336 Se 61st Ave, Portland, OR 97206-6718 | 2019-09-30 |
| 1427608645 | Carehere LLC | Family Medicine | Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 | 2019-09-19 |
| 1063064285 | Victoria A Deane | Family Medicine | 37 Fall Brook St, Portland, ME 04103-4224 | 2019-07-09 |
| 1598238214 | Whole Systems Healthcare | Family Medicine | 1020 Sw Taylor St Ste 340, Portland, OR 97205-2508 | 2019-01-04 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1871943159 | Micah Kiehl | Family Medicine | 4427 Ne Fremont St, Portland, OR 97213-1153 | 2016-06-16 |
| 1083068589 | Carrie Lynn Binder | Family Medicine | 1035 Nw Northrup St, Portland, OR 97209-3017 | 2016-04-20 |
| 1437513835 | Kayce A Spear | Family Medicine | 10803 Se Cherry Blossom Drive, Portland, OR 97216-3107 | 2016-04-12 |
| 1992175509 | Lone Star Evaluations Inc. | Family Medicine | 1500 Wildcat Dr Ste M, Portland, TX 78374-2826 | 2015-09-25 |
| Find all providers in PORTLAND | ||||
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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.