DR. DAVID JOSEPH MICCA (NPI# 1437265535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437265535 |
| Entity Type | Individual |
| Full Name | DR. DAVID JOSEPH MICCA |
| Credential | DPM |
| Practice Address |
4 Morning Walk Ln Kennebunk ME 04043-7786 |
| Practice Telephone | 2079859888 |
| Practice Fax Number | 2079853488 |
| Mailing Telephone | 2075905920 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2014-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
MEPOD220 | ME | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 039500 | 01 |
| ME | 112270099 | 05 |
| Street Address |
4 MORNING WALK LN |
| City | KENNEBUNK |
| State | ME |
| Zip Code | 04043-7786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397032 | Savida Agency, Inc. | Psychiatry & Neurology | 21a Western Ave, Suite 1, Kennebunk, ME 04043 | 2019-07-02 |
| 1578018610 | Christine Fecko | Social Worker | 14 Summer Street, Kennebunk, ME 04043 | 2016-08-18 |
| 1861841785 | Sarah Pollack | Pharmacist | 18 Blue Wave Professional Center, Kennebunk, ME 04043 | 2016-06-10 |
| 1417305566 | You&me Psychological and Consultation Services (ypcs) | Psychologist | Room 201, 8-7, Yanghwaro 12gil, Mapo-gu, Seoul, KOREA 04043 | 2016-05-31 |
| 1679933972 | Kimberly Kasten | Physician Assistant | 2 Livewell Drive, South Tower, Suite 200, Kennebunk, ME 04043 | 2016-02-29 |
| 1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
| 1447649280 | Mark Ouellette | Nurse Practitioner | 2 Livewell Drive - North Tower, Kennebunk, ME 04043 | 2015-01-16 |
| 1902155005 | Kristina Caron Occupational Therapy, LLC | Occupational Therapist | 27 Fletcher St Apt 2, Kennebunk, ME 04043 | 2012-09-05 |
| 1174838361 | Tracy Lynn Mason | Occupational Therapist | 87 Fletcher St., Maine Regional School Unit 21, Kennebunk, ME 04043 | 2010-08-11 |
| 1538392261 | Susanne Randall | In Home Supportive Care | 3 Elannas Way, Kennebunk, ME 04043 | 2009-08-28 |
| Find all providers in zip 04043 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689854382 | Kenneth D Warren Jr. | Podiatrist | 2 Berry Ct, Kennebunk, ME 04043-6812 | 2007-11-09 |
| 1366795932 | Sally Ann Warren Dpm Pllc | Podiatrist | 75 Portland Rd, Kennebunk, ME 04043-6602 | 2012-10-19 |
| 1437402013 | Kenneth D Warren Dpm Pllc | Podiatrist | 2 Berry Ct, Kennebunk, ME 04043-6812 | 2012-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528532504 | Foot and Ankle of Augusta Pa | Podiatrist | 3 Saint Catherine St, Augusta, ME 04330-5732 | 2019-01-14 |
| 1861857807 | Acadia Foot & Ankle, Pa | Podiatrist | 33 Penn Plz Ste A, Bangor, ME 04401-3619 | 2015-12-17 |
| 1568881498 | Samuel M Hall | Podiatrist | 4 Glen Cove Dr Ste 205, Rockport, ME 04856-4237 | 2014-04-08 |
| 1750703849 | Steven Farina | Podiatrist | 163 Van Buren Rd., Caribou, ME 04736-4006 | 2014-01-09 |
| 1508950155 | Olivia Newton | Podiatrist | 5 Abby Rd, Windham, ME 04062-5513 | 2006-10-03 |
| 1538149471 | Christopher Gerard Pingitore | Podiatrist | 51 Sewall St Ste 2, Portland, ME 04102-2644 | 2006-01-18 |
| 1194705038 | John Henry Dorsey Jr. | Podiatrist | 195 Fore River Parkway, Suite 120, Portland, ME 04102 | 2006-01-18 |
| 1568448272 | Barry M White | Podiatrist | 45 Forest Falls Dr, Yarmouth, ME 04096-6999 | 2005-12-15 |
| 1285624874 | John B Perry | Podiatrist | 1711 Congress St, Portland, ME 04102-1962 | 2005-10-25 |
| 1447251913 | Richard T. E. Samson | Podiatrist | 25 First Park Dr, Suite C, Oakland, ME 04963-5361 | 2005-08-09 |
| 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.