NOEL J GENOVA (NPI# 1386786176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386786176 |
Entity Type | Individual |
Full Name | NOEL J GENOVA |
Credential | PA-C |
Practice Address |
40 Park Rd Westbrook ME 04092-3188 |
Mailing Address |
144 State St Portland ME 04101-3776 |
Practice Telephone | 2078793600 |
Mailing Telephone | 2078793000 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-139 | ME | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
40 PARK RD |
City | WESTBROOK |
State | ME |
Zip Code | 04092-3188 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750340154 | Catherine Anne Lockwood | Family Medicine | 40 Park Rd, Westbrook, ME 04092-3188 | 2006-03-23 |
1982093753 | Samantha Doe | Nurse Practitioner | 40 Park Rd, Westbrook, ME 04092-3188 | 2015-01-16 |
1801234182 | Mercy Hospital | General Acute Care Hospital | 40 Park Rd, Westbrook, ME 04092-3188 | 2013-06-10 |
1831434034 | Ellen Moscinski | Social Worker | 40 Park Rd, Westbrook, ME 04092-3188 | 2012-11-29 |
1467774786 | Phillip Meeks | Social Worker | 40 Park Rd, Westbrook, ME 04092-3188 | 2010-03-01 |
1649427329 | Kathleen Mckeon | Nurse Practitioner | 40 Park Rd, Westbrook, ME 04092-3188 | 2008-08-25 |
1477731594 | Arlene M. Kellman | Internal Medicine | 40 Park Rd, Westbrook, ME 04092-3188 | 2008-01-31 |
1588852925 | Roddy A Sherer | Nurse Practitioner | 40 Park Rd, Westbrook, ME 04092-3188 | 2007-10-11 |
1740407295 | Charles L. Morris | Social Worker | 40 Park Rd, Westbrook, ME 04092-3188 | 2007-04-19 |
1568688257 | Thomas E Allan | Counselor | 40 Park Rd, Westbrook, ME 04092-3188 | 2007-04-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
Find all providers in zip 04092 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609180686 | Mainehealth | Physician Assistant | 1 Harnois Ave, Westbrook, ME 04092 | 2010-08-02 |
1346304367 | Michael Warren Wood | Physician Assistant | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
1073081428 | Ishah Marie Price | Physician Assistant | 30 Preble St Apt 663, Portland, ME 04101-4939 | 2018-11-04 |
1073056412 | Sara Burdick | Physician Assistant | 9 Healthcare Dr Ste 202, Biddeford, ME 04005-9450 | 2016-12-01 |
1487068565 | Andrew Cutter | Physician Assistant | 31 Annies Way, Gorham, ME 04038-2391 | 2014-06-17 |
1629337902 | Shannon N Moreau | Physician Assistant | 343 Us Route 1, York, ME 03909-1636 | 2012-05-08 |
1366769085 | David Arthur Hamel | Physician Assistant | 85 Brixham Rd, York, ME 03909-5342 | 2010-04-21 |
1164751152 | Elaine M Cadorette | Physician Assistant | 100 Foden Rd., West Building Suite 103, South Portland, ME 04106-2351 | 2009-12-22 |
1316130198 | Ronald W Kessler | Physician Assistant | 632 Brighton Ave, Portland, ME 04102-1017 | 2007-08-24 |
1932300142 | Ian Fm Buchan | Physician Assistant | Central Maine Partners In Health, 30 Belgrade Avenue, Auburn, ME 04210 | 2007-05-29 |
1316159072 | Bruce Brokaw | Physician Assistant | 400 Captain Thomas Road, Wells, ME 04090-7552 | 2007-05-04 |
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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.