AMY K ETZWEILER (NPI# 1568469401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568469401 |
| Entity Type | Individual |
| Full Name | AMY K ETZWEILER |
| Credential | MD |
| Practice Address |
108 Centre St Bath ME 04530-2550 |
| Practice Telephone | 2073861800 |
| Practice Fax Number | 2073861801 |
| Mailing Telephone | 2073861800 |
| Mailing Fax Number | 2074429822 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 016150 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 10655701 | 01 |
| Street Address |
108 CENTRE ST |
| City | BATH |
| State | ME |
| Zip Code | 04530-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740833888 | Matthew Hincks | Nurse Practitioner | 108 Centre St, Bath, ME 04530-2550 | 2019-07-18 |
| 1164806527 | John Noonan Jr. | Physician Assistant | 108 Centre St, Bath, ME 04530-2550 | 2015-07-16 |
| 1043622012 | Lisa Jennifer Yeh | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2014-05-27 |
| 1386080182 | Christina Anne Kapala | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2013-05-20 |
| 1821257650 | Catherine R Fredricks-rehagen | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2008-06-06 |
| 1750550893 | Robert Lester Sheehan | Social Worker | 108 Centre St, Bath, ME 04530-2550 | 2008-02-22 |
| 1215112230 | Margaret Lynn Duhamel | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2008-01-09 |
| 1932133386 | Matthew T Hanna | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2006-07-10 |
| 1811927825 | Nancy A Hasenfus | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2006-07-04 |
| 1982634903 | James P Rines | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721230 | Eric Edward Morse | Pharmacy | Wilsens Drug Store, 114 Front St, Bath, ME 04530 | 2020-05-11 |
| 1659825818 | Lacey Andrews Gale | Social Worker | 72 Front St Ste 1, Bath, ME 04530 | 2016-08-05 |
| 1619368024 | Cathleen D Koslosky | Nurse Practitioner | 108 Centre St Ste 200, Bath, ME 04530 | 2015-02-08 |
| 1558760801 | Carrie M Werner | Naturopath | 92 Commercial St, Bath, ME 04530 | 2014-08-21 |
| 1457765125 | Mandy Winne | Massage Therapist | 9 Centre Street, Bath, ME 04530 | 2014-06-20 |
| 1295162618 | Dusty Jones | Behavioral Analyst | 995 Middle Street, Bath, ME 04530 | 2013-09-30 |
| 1659520096 | Tedford Housing-evergreen Woods | Case Management | 10 James Way, Bath, ME 04530 | 2008-09-10 |
| 1467630509 | Nancy Harris Jaeger | Social Worker | 141 Front St, Bath, ME 04530 | 2008-01-31 |
| 1740463009 | Bruce Alan Verrill | Dentist | 42 Front Street, Bath, ME 04530 | 2007-12-10 |
| 1699958249 | Myron K Krueger Md Pa | Internal Medicine | 765 High Street, Bath, ME 04530 | 2007-12-06 |
| Find all providers in zip 04530 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1699958249 | Myron K Krueger Md Pa | Internal Medicine | 765 High Street, Bath, ME 04530 | 2007-12-06 |
| 1457498990 | Linda K. Blose | Internal Medicine | 2445 Plaza Ct, Bath, PA 18014-8762 | 2007-02-01 |
| 1720002215 | James Howard Raker | Internal Medicine | 51 Winship St, Bath, ME 04530-2843 | 2006-07-27 |
| 1598799934 | Daniel H Wood | Internal Medicine | 1356a Washington St, Bath, ME 04530-2847 | 2006-07-10 |
| 1427082908 | Anselmo Deasis | Internal Medicine | 7433 State Route 54, Bath, NY 14981 | 2006-07-10 |
| 1447284708 | Benjamin S Herman | Internal Medicine | 1356a Washington Street, Bath, ME 04530 | 2006-07-10 |
| 1699776369 | Iftikhar Ahmad | Internal Medicine | 6649 Chrisphalt Dr, Suite 101, Bath, PA 18014-8500 | 2005-08-03 |
| 1376546077 | Carol L Holobinko | Internal Medicine | 7603 Route 54, Bath, NY 14810-7930 | 2005-05-27 |
| 1043622012 | Lisa Jennifer Yeh | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2014-05-27 |
| 1386080182 | Christina Anne Kapala | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2013-05-20 |
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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.