PROGRESSIVE MEDICAL CARE LLC (NPI# 1568615649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568615649 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE MEDICAL CARE LLC |
| Practice Address |
335 Brighton Ave Portland ME 04102-2363 |
| Mailing Address |
53 Johnson Rd Falmouth ME 04105-1408 |
| Practice Telephone | 2078993680 |
| Practice Fax Number | 2078993680 |
| Mailing Telephone | 2078993680 |
| Mailing Fax Number | 2078993680 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2009-04-09 |
| Authorized Official Name | MRS. TEHSEEN NAQVI (OWNER) |
| Authorized Official Telephone | 2078993680 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
017608 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
335 BRIGHTON AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515720 | Raymond R White | Orthopaedic Surgery | 335 Brighton Ave, Suite 200, Portland, ME 04103-2362 | 2005-08-19 |
| 1619519873 | Maine Medical Consultants PC | Internal Medicine | 335 Brighton Ave, Portland, ME 04102-2363 | 2019-10-09 |
| 1972085140 | Regina M Bowie | Registered Nurse | 335 Brighton Ave, Portland, ME 04102-2363 | 2018-09-04 |
| 1780170431 | Kayla Marlise Heins | Speech-Language Pathologist | 335 Brighton Ave, Portland, ME 04102-2363 | 2018-07-05 |
| 1700380466 | Katherine A Diconzo | Nurse Practitioner | 335 Brighton Ave, Portland, ME 04102 | 2018-03-19 |
| 1316471105 | Deborah Mcginnis | Occupational Therapist | 335 Brighton Ave, Portland, ME 04102-2363 | 2017-04-18 |
| 1811435100 | Andrew F Scichilone | Physician Assistant | 335 Brighton Ave, Suite 200, Portland, ME 04102-2363 | 2017-02-07 |
| 1134572316 | Physical and Functional Medicine Incorporated | Physical Medicine & Rehabilitation | 335 Brighton Ave, Portland, ME 04102-2363 | 2016-07-22 |
| 1710362421 | Joel P Miller | Physician Assistant | 335 Brighton Ave, Portland, ME 04102-2363 | 2015-07-23 |
| 1447646260 | Zachary Cohn | Student in an Organized Health Care Education/Training Program | 335 Brighton Ave, Portland, ME 04102-2363 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811257124 | Hpa Housecall PC | Family Medicine | 6975 Sw Sandburg St Ste 190, Portland, OR 97223-8136 | 2012-05-21 |
| 1023226271 | River Medical Clinic PC | Family Medicine | 13021 Se River Rd, Portland, OR 97222-8062 | 2007-05-20 |
| 1982774543 | Harry S Krulewitch, Md PC | Family Medicine | 4838 Sw Scholls Ferry Rd, Portland, OR 97225-1629 | 2006-11-09 |
| 1215953724 | Howard M Graitzer | Family Medicine | 6808 Se 28th Ave, Portland, OR 97202-8705 | 2006-07-15 |
| 1598799553 | Harry Scott Krulewitch | Family Medicine | 1101 Sw Coronado St, Portland, OR 97219-7625 | 2006-07-10 |
| 1457876633 | Kristie Lynn Mitchell | Family Medicine | 1675 Sw Marlow Ave Ste 202, Portland, OR 97225-5102 | 2017-08-08 |
| 1790122927 | Emily Livia Carter | Family Medicine | 66 Bramhall St, Portland, ME 04102-3344 | 2013-05-29 |
| 1285869420 | Chester C Suske | Family Medicine | 1250 Forest Ave, Suite 13, Portland, ME 04103-1889 | 2009-05-18 |
| 1164610242 | Mainehealth | Family Medicine | 22 Bramhall St, Portland, ME 04102 | 2007-10-15 |
| 1881611549 | Howard M Graitzer Do | Family Medicine | 6040 Se Belmont St, Portland, OR 97215-1974 | 2006-07-17 |
| Find all providers in PORTLAND | ||||
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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.