DR. CHRISTIAN BASQUE (NPI# 1366731648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366731648 |
| Entity Type | Individual |
| Full Name | DR. CHRISTIAN BASQUE |
| Credential | M.D. |
| Practice Address |
46 Barra Rd Ste 103 Biddeford ME 04005-9461 |
| Mailing Address |
Po Box 820933 Philadelphia PA 19182-0933 |
| Practice Telephone | 2072831126 |
| Mailing Telephone | 2159269010 |
| Mailing Fax Number | 2152268285 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2019-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD453023 | PA | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD21013 | ME | Allopathic & Osteopathic Physicians |
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
MD21013 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | TPI GROUP PA MAID | 100727800 | 01 |
| PA | TPI GROUP RAILROAD MEDICARE | CD4829 | 01 |
| PA | TPI GROUP MEDICARE | 597586 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11000 Roosevelt Blvd, 360, Philadelphia, PA 191163961 | 2156771475 | 2156773082 |
| Street Address |
46 BARRA RD STE 103 |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005-9461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046767 | Ryan Mark Dolan | Specialist/Technologist | 46 Barra Rd Ste 103, Biddeford, ME 04005-9461 | 2019-04-24 |
| 1447547864 | Eric N Smith | Physician Assistant | 46 Barra Rd Ste 103, Biddeford, ME 04005-9461 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841326022 | Kenneth Robert Mckenzie | Family Medicine | 47 Unity Rd, Albion, ME 04910-6151 | 2007-02-24 |
| 1396739520 | William W Dexter | Family Medicine | 272 Congress St, Portland, ME 04102 | 2005-09-02 |
| 1104289990 | Stefanie Lauren Lewis | Family Medicine | 6 E Chestnut St, Augusta, ME 04330-5758 | 2016-03-30 |
| 1508278904 | James Alex | Family Medicine | 22 Bramhall St, Portland, ME 04102-3134 | 2014-05-20 |
| 1407266778 | Mary Iaculli | Family Medicine | 331 Veranda St, Portland, ME 04103-5545 | 2014-05-07 |
| 1114213667 | Alison Savage Lee | Family Medicine | 33 Sewall St, Portland, ME 04102-2603 | 2011-06-23 |
| 1407176175 | Robert B Stevens | Family Medicine | 35 Medical Center Pkwy, Augusta, ME 04330 | 2010-06-04 |
| 1083824106 | Cameron Lee Trubey | Family Medicine | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-05-24 |
| 1245450832 | Krystian W Bigosinski | Family Medicine | 100 Brickhill Avenue, Suite 303, South Portland, ME 04106 | 2007-04-26 |
| 1336264316 | John P Colianni | Family Medicine | 331 Veranda St, Portland, ME 04103-5545 | 2007-03-20 |
| 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.