DR. WAYNE A KRUITHOFF (NPI# 1447220561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447220561 |
| Entity Type | Individual |
| Full Name | DR. WAYNE A KRUITHOFF |
| Credential | M.D. |
| Practice Address |
144 State St Portland ME 04101-3776 |
| Practice Telephone | 2078793770 |
| Mailing Telephone | 2078793770 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2013-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
015000 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 275700099 | 05 |
| Street Address |
144 STATE ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-3776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078712 | Mercy Hospital | General Acute Care Hospital | 144 State St, Portland, ME 04101-3776 | 2005-07-29 |
| 1518502913 | Alex Langton | Physician Assistant | 144 State St, Portland, ME 04101-3776 | 2019-11-10 |
| 1033777362 | John Mladucky | Hospitalist | 144 State St, Portland, ME 04101-3776 | 2019-06-01 |
| 1679041016 | Molly Sue Galasyn | Physician Assistant | 144 State St, Portland, ME 04101-3776 | 2018-11-03 |
| 1114407004 | Heather Lynne Hansen | Physician Assistant | 144 State St, Portland, ME 04101-3776 | 2018-08-20 |
| 1851891956 | Christina Cange | Nurse Practitioner | 144 State St, Portland, ME 04101-3776 | 2018-02-15 |
| 1760990212 | Kelsey Elizabeth Langley | Physician Assistant | 144 State St, Portland, ME 04101-3776 | 2018-01-18 |
| 1750805982 | Michelle Ruth Clark | Physician Assistant | 144 State St, Portland, ME 04101-3776 | 2017-07-30 |
| 1720441058 | Virginia Katherine H Weiss | Anesthesiology | 144 State St, Portland, ME 04101-3776 | 2016-04-04 |
| 1871951251 | Abigail Louise Lee | Social Worker | 144 State St, Portland, ME 04101-3776 | 2016-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124281423 | Jane Tuyet Luu | Internal Medicine | 2222 Nw Lovejoy St Ste 606, Portland, OR 97210-5104 | 2008-07-07 |
| 1467646125 | Edward A Greco Jr Md | Internal Medicine | 693 Congress Street, Portland, ME 04102 | 2007-09-05 |
| 1760692529 | Shaun Lowell Ageno | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Uhn-62, Portland, OR 97239-3011 | 2007-05-23 |
| 1437269974 | Hamilton S Gillespie | Internal Medicine | 501 N Graham St Ste 200, Portland, OR 97227-2000 | 2006-08-30 |
| 1508874058 | Craig Stanford Broberg | Internal Medicine | 3181 Sw Sam Jackson Pk Rd, Uhn 62 Division of Cardiology, Portland, OR 97239 | 2006-08-03 |
| 1255348058 | George David Giraud | Internal Medicine | 3710 Sw Us Veterans Road, Portland Va Medical Center, P3 Card, Portland, OR 97207-1034 | 2006-08-02 |
| 1063445880 | Edward Greco | Internal Medicine | 693 Congress St, Portland, ME 04102-3303 | 2006-07-07 |
| 1639109044 | George Quentin Hamilton | Internal Medicine | 8305 Se Monterey Ave, #105, Portland, OR 97086-7725 | 2006-07-03 |
| 1164498499 | Jason Roland Wollmuth | Internal Medicine | 1111 Ne 99th Ave Ste 201, Portland, OR 97220-9442 | 2006-02-27 |
| 1801862255 | Nandita Chaturvedi Gupta | Internal Medicine | 3303 Sw Bond Ave Ste 9, Portland, OR 97239-4501 | 2006-02-26 |
| 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.