DR. LAURENT J BEAUREGARD (NPI# 1508023854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508023854 |
| Entity Type | Individual |
| Full Name | DR. LAURENT J BEAUREGARD |
| Credential | PH.D. |
| Practice Address |
43 Whiting Hill Rd Cianchette Building, Suite 150 Brewer ME 04412-1005 |
| Practice Telephone | 2079737357 |
| Practice Fax Number | 2079735640 |
| Mailing Telephone | 2079737357 |
| Mailing Fax Number | 2079735640 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
| Street Address |
43 WHITING HILL RD CIANCHETTE BUILDING, SUITE 150 |
| City | BREWER |
| State | ME |
| Zip Code | 04412-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649460031 | Jeffrey Michael Millett | Nurse Practitioner | 43 Whiting Hill Rd, Suite 300, Brewer, ME 04412-1005 | 2007-07-31 |
| 1851733075 | Brendan Gerard Fennessy | Otolaryngology | 43 Whiting Hill Rd, Brewer, ME 04412-1005 | 2013-07-30 |
| 1720378870 | Jennifer Story | Physical Therapist | 43 Whiting Hill Rd, Brewer, ME 04412-1005 | 2011-04-11 |
| 1891084687 | Teri J Carr | Physical Therapist | 43 Whiting Hill Rd, Suite 300, Brewer, ME 04412-1005 | 2011-04-01 |
| 1780821140 | Norumbega Medical Specialists, Ltd | Clinic/Center | 43 Whiting Hill Rd, Brewer, ME 04412-1005 | 2009-01-07 |
| 1669657532 | Lalaine C Llanto | Family Medicine | 43 Whiting Hill Rd, Suite 300, Brewer, ME 04412-1005 | 2008-01-09 |
| 1427249499 | Marshall T. Hollinger | Nurse Practitioner | 43 Whiting Hill Rd, Brewer, ME 04412-1005 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790907848 | Karen E Rasmussen | Medical Genetics, Ph.D. Medical Genetics | 100 Campus Dr, Suite 108, Scarborough, ME 04074-9692 | 2007-05-02 |
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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.