BENJAMIN LIESS ENT LLC (NPI# 1518431642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518431642 |
| Entity Type | Organization |
| Organization Name | BENJAMIN LIESS ENT LLC |
| Practice Address |
144 Us Route 1 Scarborough ME 04074-7219 |
| Practice Telephone | 2074154841 |
| Mailing Telephone | 2074154841 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | BENJAMIN LIESS (OWNER) |
| Authorized Official Telephone | 2074154841 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 195 Fore River Pkwy Ste 120, Portland, ME 041022781 | 2074154841 |
| Street Address |
144 US ROUTE 1 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-7219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184630006 | Robert Damian Sansonetti | Specialist | 144 Us Route 1, Scarborough, ME 04074-7203 | 2006-07-31 |
| 1598372898 | Elizabeth L. Ford | Speech-Language Pathologist | 144 Us Route 1, Suite 4, Scarborough, ME 04074-7219 | 2020-09-30 |
| 1508362724 | Tarja Oliver | Audiologist | 144 Us Route 1, Scarborough, ME 04074-7219 | 2018-04-05 |
| 1710411038 | Brett Curtis | Massage Therapist | 144 Us Route 1, Scarborough, ME 04074-7219 | 2017-04-13 |
| 1871949297 | Tanya Lacroix | Massage Therapist | 144 Us Route 1, Scarborough, ME 04074-7219 | 2016-05-05 |
| 1497140461 | Francesca Bailey | Massage Therapist | 144 Us Route 1, Scarborough, ME 04074-7219 | 2015-04-06 |
| 1164833729 | Sarah D Fowler | Counselor | 144 Us Route 1, Suite 4, Scarborough, ME 04074-7219 | 2014-05-16 |
| 1174946164 | Keri-ann Johnson | Massage Therapist | 144 Us Route 1, Scarborough, ME 04074-7219 | 2014-01-27 |
| 1619398484 | Rachel Orciani | Massage Therapist | 144 Us Route 1, Scarborough, ME 04074-7219 | 2013-12-22 |
| 1659701498 | Scarborough Neurodevelopment Center, LLC | Occupational Therapist | 144 Us Route 1, Suite 4, Scarborough, ME 04074-7219 | 2013-11-14 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841251063 | David S Hurst | Otolaryngology | 23 Spring Street, Suite D, Scarborough, ME 04074 | 2006-03-29 |
| 1790847325 | Julius Damion | Otolaryngology | 144 Us Route 1, Scarborough, ME 04074-7219 | 2006-12-13 |
| 1881767846 | Maine Ear Nose & Throat Center LLC | Otolaryngology | 69 Us Route 1, Scarborough, ME 04074-9374 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1114346251 | Shane Griffith | Otolaryngology | 81 Medical Center Dr Ste 1150, Brunswick, ME 04011-2765 | 2014-04-15 |
| 1689930901 | Christopher F Manning | Otolaryngology | 88 Talbot Ave, Rockland, ME 04841-2934 | 2012-04-11 |
| 1013209931 | Angela Cheng-hung Tsai | Otolaryngology | 885 Union St Ste 145, Bangor, ME 04401-3073 | 2011-05-11 |
| 1265764484 | El-silimy Md LLC | Otolaryngology | 73 Sweden St, Caribou, ME 04736-2101 | 2010-02-12 |
| 1992877013 | Osama Ea El Silimy | Otolaryngology | 73 Sweden Street, Caribou, ME 04736 | 2006-11-14 |
| 1023105020 | Charles R Gasser | Otolaryngology | 12 High St Ste 102, Lewiston, ME 04240-7634 | 2006-10-10 |
| 1992805253 | Peter D O'connor | Otolaryngology | 331 Maine St Ste 4, Brunswick, ME 04011-3359 | 2006-09-25 |
| 1043310931 | Charles F Kava | Otolaryngology | 68 Ben Paul Ln, Rockport, ME 04856-4452 | 2006-09-22 |
| 1811094220 | William Raymond Chasse | Otolaryngology | 325 B Kennedy Memorial Drive, Waterville, ME 04901 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
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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.