SEBASTICOOK FAMILY DOCTORS (NPI# 1518293547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518293547 |
| Entity Type | Organization |
| Organization Name | SEBASTICOOK FAMILY DOCTORS |
| Practice Address |
333 Main St Canaan ME 04924-3407 |
| Mailing Address |
118 Moosehead Trl Suite 5 Newport ME 04953-4055 |
| Practice Telephone | 2074746990 |
| Practice Fax Number | 2074748899 |
| Mailing Telephone | 2073684213 |
| Mailing Fax Number | 2073553033 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |
| Authorized Official Name | MRS. ROBIN WINSLOW (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2073684213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
| 1063464634 | Sebasticook Family Doctors | Family Medicine | 118 Moosehead Trl, Suite 5, Newport, ME 04953-4020 | 2006-05-16 |
| 1396026803 | Sebasticook Family Doctors | Clinic/Center | 453 Main St, Pittsfield, ME 04967-5310 | 2011-08-30 |
| 1306141502 | Sebasticook Family Doctors | Clinic/Center | 71 Elm St, Newport, ME 04953-3121 | 2011-01-19 |
| 1831426022 | Sebasticook Family Doctors | Family Medicine | 1008 W Main St, Dover Foxcroft, ME 04426-3745 | 2009-11-09 |
| 1952637985 | Sebasticook Family Doctors | Clinic/Center | 140 Chandler St, Pittsfield, ME 04967-3711 | 2009-10-27 |
| 1811223837 | Sebasticook Family Doctors | Clinic/Center | 29 Church St, Dexter, ME 04930-1320 | 2009-10-27 |
| Street Address |
333 MAIN ST |
| City | CANAAN |
| State | ME |
| Zip Code | 04924-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942631973 | Kimberly K Newby | Nurse Practitioner | 333 Main St, Canaan, ME 04924-3407 | 2013-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437459245 | Brian Arthur Scanlon | Counselor | 460 Easy St, Canaan, ME 04924-3014 | 2010-10-26 |
| 1114279163 | Jennifer L Giguere | Registered Nurse | 659 Hartland Rd, Canaan, ME 04924-3110 | 2012-10-15 |
| 1629510821 | Mary Ellen Banaszek | Registered Nurse | 124 Lancaster Rd, Canaan, ME 04924-3136 | 2016-11-06 |
| 1356988653 | Ann Mary Lawler | Technician | 545 Hinckley Rd, Canaan, ME 04924-3308 | 2019-12-05 |
| 1932431574 | Tonya Marie Goucher | Occupational Therapy Assistant | 17 Crooked Creek Dr, Canaan, ME 04924-3354 | 2010-02-08 |
| 1417261629 | Wilfred Edward Deraps | Pharmacist | 1931 Hill Rd, Canaan, ME 04924-3541 | 2010-07-29 |
| 1457589475 | David Brill | In Home Supportive Care | 60 Clarke St, Canaan, ME 04924-3752 | 2009-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356988653 | Ann Mary Lawler | Technician | 545 Hinckley Rd, Canaan, ME 04924-3308 | 2019-12-05 |
| 1861054082 | Athina Mizero | Counselor | 13640 State Route 22, Canaan, NY 12029-3506 | 2019-07-09 |
| 1063071397 | Adam Cooper Eckhardt | Registered Nurse | 405 W Farms Rd, Canaan, NH 03741-7514 | 2019-06-11 |
| 1942767017 | Town of Canaan | Ambulance | 56 Nh Rt 118, Canaan, NH 03741 | 2019-02-26 |
| 1942792379 | Kathleen Takach | Dentist | Mascoma Community Healthcare, 18 Roberts Road, Canaan, NH 03741 | 2018-06-01 |
| 1396244141 | Erin Marchesseault | Specialist/Technologist | 835 Vt Route 114, Canaan, VT 05903-9777 | 2018-02-07 |
| 1437686466 | Michelle Anne Blackburn | Occupational Therapist | 77 S Canaan Rd, Canaan, CT 06018-2517 | 2017-05-22 |
| 1386183937 | Juanita Lock | Nurse Practitioner | 10051 N State Road 62, Canaan, IN 47224-9759 | 2017-02-15 |
| 1861938409 | Courtney Vorachak | Peer Specialist | 44 Roberts Rd, Canaan, NH 03741-7644 | 2017-01-06 |
| 1629510821 | Mary Ellen Banaszek | Registered Nurse | 124 Lancaster Rd, Canaan, ME 04924-3136 | 2016-11-06 |
| Find all providers in CANAAN | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
| 1295386316 | Community Clinical Services, Inc | Clinic/Center | 1250 Turner St, Auburn, ME 04210-6436 | 2019-09-20 |
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1760973960 | Penobscot Community Health Center | Clinic/Center | 1012 Union St Ste 3, Bangor, ME 04401-3058 | 2018-05-23 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1184165367 | Katahdin Valley Health Center | Clinic/Center | 65 South St, Houlton, ME 04730-1550 | 2017-03-20 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1881135192 | Portland Community Health Center | Clinic/Center | 353 Cumberland Avenue, Cliff Island, ME 04109-0008 | 2017-03-20 |
| 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.