HEAD AND NECK SURGICAL ASSOCIATES (NPI# 1548456866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548456866 |
| Entity Type | Organization |
| Organization Name | HEAD AND NECK SURGICAL ASSOCIATES |
| Practice Address |
244 Kennedy Memorial Dr Suite G Waterville ME 04901-4538 |
| Mailing Address |
1250 Forest Ave Suite 301 Portland ME 04103-1889 |
| Practice Telephone | 2078721937 |
| Practice Fax Number | 2078721949 |
| Mailing Telephone | 2077975753 |
| Mailing Fax Number | 2078181715 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | MRS. ELAINE H BUTLAND (OFFICE MANAGER) |
| Authorized Official Telephone | 2077975753 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEAD AND NECK SURGICAL ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184810400 | Head and Neck Surgical Associates | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1889 | 2007-09-20 |
| 1508052150 | Head and Neck Surgical Associates | Otolaryngology | 55 Main St, Bridgton, ME 04009-1117 | 2007-09-18 |
| 1508052143 | Head and Neck Surgical Associates | Otolaryngology | 6 Wellspring Rd, Biddeford, ME 04005-9415 | 2007-09-18 |
| 1265628804 | Head and Neck Surgical Associates | Otolaryngology | 193 Main St, Norway, ME 04268-5645 | 2007-09-18 |
| Street Address |
244 KENNEDY MEMORIAL DR SUITE G |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-4538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147222 | Anthony Lee Sintetos | Internal Medicine | 244 Kennedy Memorial Dr, First Floor, Waterville, ME 04901-4538 | 2005-07-13 |
| 1366854838 | Gregory V. Sarka D.d.s., M.d., L.L.C. | Dentist | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2014-06-02 |
| 1366883670 | Syed Iqbql Rahmatullah | Internal Medicine | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2013-07-15 |
| 1588725246 | C. V. Diagnostics, Inc. | Clinic/Center | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2006-12-13 |
| 1760420756 | Thomas John Fiola | Dentist | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2006-06-03 |
| 1194772426 | Mid-maine Oral and Maxillofacial Surgery Pa | Dentist | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2006-05-30 |
| 1043200868 | Gregory V Sarka | Dentist | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648323 | William Maxwell | Otolaryngology | 43 Baxter Blvd, Portland, ME 04101-1823 | 2005-12-05 |
| 1093944258 | Christina Marie Mimikos | Otolaryngology | 1250 Forest Ave Ste 301, Portland, ME 04103 | 2009-07-09 |
| 1184810400 | Head and Neck Surgical Associates | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1889 | 2007-09-20 |
| 1508052150 | Head and Neck Surgical Associates | Otolaryngology | 55 Main St, Bridgton, ME 04009-1117 | 2007-09-18 |
| 1508052143 | Head and Neck Surgical Associates | Otolaryngology | 6 Wellspring Rd, Biddeford, ME 04005-9415 | 2007-09-18 |
| 1265628804 | Head and Neck Surgical Associates | Otolaryngology | 193 Main St, Norway, ME 04268-5645 | 2007-09-18 |
| 1184684599 | Head and Neck Surgical Associates, Pa | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1884 | 2006-03-28 |
| 1003806118 | Joseph Neil Wilson | Otolaryngology | 140 Academy St, Presque Isle, ME 04769 | 2005-10-28 |
| 1174511158 | Christopher B Murry | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1884 | 2005-10-12 |
| City | WATERVILLE |
| Zip Code | 04901 |
Please comment or provide details below to improve the information on HEAD AND NECK SURGICAL ASSOCIATES.
| 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.