MR. BENJAMIN NOAH STAROBIN (NPI# 1457715690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457715690 |
Entity Type | Individual |
Full Name | MR. BENJAMIN NOAH STAROBIN |
Credential | M.D. |
Practice Address |
22 Bramhall Street Maine Medical Center Portland ME 04102-3134 |
Practice Telephone | 2076620111 |
Mailing Telephone | 2076620111 |
Enumeration Date | 2016-04-13 |
Last Update Date | 2016-04-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
22 BRAMHALL STREET MAINE MEDICAL CENTER |
City | PORTLAND |
State | ME |
Zip Code | 04102-3134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003893108 | Lori A Niland | Physician Assistant | 22 Bramhall Street, Portland, ME 04102 | 2005-12-29 |
1295359966 | Christopher Ryan Win Hun Lee | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Psa #5323a, Portland, ME 04102 | 2020-05-29 |
1699234658 | Colbey Ryan Bowen | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Department of Pediatrics, Portland, ME 04102 | 2019-03-18 |
1154826998 | James Joseph Leonetti | Pharmacist | 22 Bramhall Street, Portland, ME 04102 | 2018-03-26 |
1518497890 | Pardis Koleini | Dentist | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102 | 2017-06-19 |
1588196042 | David Yang | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102-5432 | 2017-04-03 |
1649702119 | Katherine Sharp | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102 | 2017-04-03 |
1902338361 | William J Devan | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102 | 2017-04-03 |
1871943597 | Margaret Tekla Doan Soroka | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102 | 2016-06-14 |
1851755565 | Andrew Fried | Emergency Medicine | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102-3175 | 2016-04-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
1669081659 | Amy Hill | Student in an Organized Health Care Education/Training Program | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 |
1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
1558986364 | Haley Bosco Doyle | Student in an Organized Health Care Education/Training Program | 3587 Se Grant St, Portland, OR 97214-5829 | 2020-06-08 |
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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.