MAINE INTERVENTIONAL, LLC (NPI# 1437160918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437160918 |
| Entity Type | Organization |
| Organization Name | MAINE INTERVENTIONAL, LLC |
| Practice Address |
123 Medical Center Dr Brunswick ME 04011-2652 |
| Mailing Address |
Po Box 1849 Lewiston ME 04241-1849 |
| Practice Telephone | 2077842554 |
| Practice Fax Number | 2077771439 |
| Mailing Telephone | 2077842554 |
| Mailing Fax Number | 2077771439 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN J CHOMYN (PRESIDENT) |
| Authorized Official Telephone | 2077842554 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
123 MEDICAL CENTER DR |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911841 | Philip S Crichton | Radiology | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2005-06-09 |
| 1972129005 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-24 |
| 1902422561 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-19 |
| 1699399931 | Abrianne Eagers | Registered Nurse | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-02 |
| 1629606934 | Morgan Cooper | Physical Therapist | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-03-31 |
| 1073020707 | Thomas Blake Hendrix | Internal Medicine | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2018-01-03 |
| 1215448048 | Kelly A Hoyt | Nurse Practitioner | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-10-19 |
| 1306357587 | Kristina Nocella | Physical Therapist | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-10-16 |
| 1760907224 | Jaime Norton | Occupational Therapist | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-08-07 |
| 1831612357 | Amanda Beth Behnke | Nurse Practitioner | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598708588 | Joseph M Ullman | Radiology | 15 Hospital Drive, Dept Radiology York Hospital, York, ME 03909 | 2006-06-14 |
| 1780149260 | Radiology Professionals, P.a. | Radiology | 144 State Street, Portland, ME 04101-3776 | 2019-02-08 |
Please comment or provide details below to improve the information on MAINE INTERVENTIONAL, LLC.
| 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.