DR. CHARLES M. CARPENTER (NPI# 1477598431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477598431 |
| Entity Type | Individual |
| Full Name | DR. CHARLES M. CARPENTER |
| Credential | M.D. |
| Practice Address |
96 Campus Drive Suite 1 Scarborough ME 04074 |
| Mailing Address |
301c Us Route One Scarborough ME 04074 |
| Practice Telephone | 2078859905 |
| Practice Fax Number | 2073965600 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2015-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD14820 | ME | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD14820 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | NEW HAMPSHIRE MEDICAID | 30200245 | 01 |
| ME | ANTHEM | 036253 | 01 |
| ME | 319330099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497085963 | Charles Keith Carpenter | Registered Nurse | 9900 Birch Run Rd Ste D, Birch Run, MI 48415-9609 | 2010-01-06 |
| 1326077728 | Charles Mark Carpenter | Dentist | 1086 Wyoming Ave, Forty Fort, PA 18704-4014 | 2006-06-30 |
| 1710306113 | Charles Carpenter | Health Educator | 15 Main St, Edison, NJ 08837-3447 | 2014-04-14 |
| 1457520462 | Charles Francis Carpenter | Preventive Medicine | 2131 Capitol Ave, Suite 300, Sacramento, CA 95816-5755 | 2008-02-23 |
| 1396969044 | Charles Mark Carpenter | Dentist | 1086 Wyoming Ave, Forty Fort, PA 18704-4014 | 2007-04-12 |
| 1265534101 | Charles Sheldon Carpenter | Psychologist | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2006-09-01 |
| 1033122700 | Charles T Carpenter | Nurse Anesthetist, Certified Registered | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2006-08-14 |
| 1063459774 | Charles C.j. Carpenter | Internal Medicine | 164 Summit Ave, Fain Bldg, Suite E, Providence, RI 02906-2853 | 2006-06-01 |
| 1194700112 | Charles Ernie Carpenter | Emergency Medicine | 4500 Medical Center Dr, Mckinney, TX 75069-1650 | 2005-12-13 |
| 1942298112 | Charles Mark Carpenter | Surgery | 1500 E 2nd St, Suite 206, Reno, NV 89502-1181 | 2005-10-11 |
| Street Address |
96 CAMPUS DRIVE SUITE 1 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982670204 | Victoria Vest | Advanced Practice Midwife | 96 Campus Drive, Third Floor, Scarborough, ME 04074 | 2006-02-27 |
| 1619231149 | Anna Stasiv | Nurse Practitioner | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2012-06-29 |
| 1740582691 | Amanda L Schweizer | Physician Assistant | 96 Campus Drive, Suite 2c, Scarborough, ME 04074 | 2010-11-29 |
| 1326201773 | Samip C. Vasaiwala | Internal Medicine | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2008-07-07 |
| 1003078080 | Heidi M Roy | Nurse Practitioner | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2008-06-30 |
| 1154522035 | Esther S. Shao | Internal Medicine | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2007-05-30 |
| 1235351669 | Paul F. Frey | Internal Medicine | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2007-05-03 |
| 1215029970 | Jean S. Cass | Nurse Practitioner | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2006-09-29 |
| 1184640963 | Karl C. Sze | Internal Medicine | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2006-07-14 |
| 1629000302 | Marco N. Diaz | Internal Medicine | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| 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 |
|---|---|---|---|---|
| 1346240033 | Brooke Sears Ritvo | Internal Medicine | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2005-07-26 |
| 1942565247 | Maxwell Afari | Internal Medicine | 96 Campus Dr Ste 1, Scarborough, ME 04074 | 2012-07-12 |
| 1730441346 | Angela Young Higgins | Internal Medicine | 96 Campus Dr, Scarborough, ME 04074-7163 | 2012-06-10 |
| 1306071428 | Abraham Abernethy | Internal Medicine | 96 Campus Dr Ste 1, Scarborough, ME 04074-7164 | 2009-05-19 |
| 1326201773 | Samip C. Vasaiwala | Internal Medicine | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2008-07-07 |
| 1245415140 | Jordan Stewart Leyton-mange | Internal Medicine | 96 Campus Dr, Scarborough, ME 04074-7163 | 2008-01-09 |
| 1447458062 | Christopher C Gelwix | Internal Medicine | 301c Us Route 1, Scarborough, ME 04074-9701 | 2007-07-05 |
| 1033233374 | Aimee C Welsh | Internal Medicine | 96 Campus Dr, Scarborough, ME 04074-7163 | 2007-03-19 |
| 1184640963 | Karl C. Sze | Internal Medicine | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2006-07-14 |
| 1629000302 | Marco N. Diaz | Internal Medicine | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2006-07-06 |
| Find all providers in SCARBOROUGH | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
Please comment or provide details below to improve the information on DR. CHARLES M. CARPENTER.
| 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.