KENNEBEC MEDICAL ASSOCIATES, P.A. (NPI# 1578623625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578623625 |
| Entity Type | Organization |
| Organization Name | KENNEBEC MEDICAL ASSOCIATES, P.A. |
| Practice Address |
13 Railroad Sq Waterville ME 04901-6139 |
| Practice Telephone | 2078726869 |
| Practice Fax Number | 2078727910 |
| Mailing Telephone | 2078726869 |
| Mailing Fax Number | 2078727910 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-10-16 |
| Authorized Official Name | MISS DONNA R BILODEAU (SHAREHOLDER) |
| Authorized Official Telephone | 2078726869 |
| Authorized Official Credential | F.N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
13 RAILROAD SQ |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-6139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121114 | Donna Bilodeau | Nurse Practitioner | 13 Railroad Sq, Kennebec Family Practice, Waterville, ME 04901-6139 | 2005-08-10 |
| 1376177386 | The Mind Center, Inc | Psychologist | 13 Railroad Sq, Waterville, ME 04901-6139 | 2020-02-28 |
| 1821386343 | Kennebec Medical Consultants | Family Medicine | 13 Railroad Sq, Suite 2, Waterville, ME 04901-6139 | 2011-07-18 |
| 1366776007 | Susan Allen Abbott | Nurse Practitioner | 13 Railroad Sq, Waterville, ME 04901-6139 | 2009-09-29 |
| 1942453683 | Mainegeneral Health Associates | Family Medicine | 13 Railroad Sq, Kennebec Family Practice, Waterville, ME 04901-6139 | 2008-10-28 |
| 1871793414 | Hoai-nam Hoang | Family Medicine | 13 Railroad Sq, Waterville, ME 04901-6139 | 2007-07-23 |
| 1023153269 | Ann Norsworthy | Physician Assistant | 13 Railroad Sq, Waterville, ME 04901-6139 | 2007-02-21 |
| 1184648784 | Jerald E Hurdle | Family Medicine | 13 Railroad Sq, Suite 1, Waterville, ME 04901-6139 | 2006-07-27 |
| 1417977182 | Resilience, Inc | Counselor | 13 Railroad Sq, Waterville, ME 04901 | 2006-07-19 |
| 1386634707 | Waterville Family Practice | Family Medicine | 13 Railroad Sq, Waterville, ME 04901-6139 | 2005-10-26 |
| Find all providers in the same location | ||||
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811419823 | Lincoln Medical Practice | Clinic/Center | 124 Canal St Ste C, Lewiston, ME 04240-7711 | 2017-07-11 |
| 1902229040 | Appleton Medical Center | Clinic/Center | 658 Main Rd N, Hampden, ME 04444-1904 | 2014-01-25 |
| 1447693965 | Charette Primary Health Care | Clinic/Center | 1063 Allagash Rd Ste 1, Allagash, ME 04774-4010 | 2013-04-15 |
| 1912160839 | Sebasticook Valley Hospital | Clinic/Center | 447 Main Rd, Carmel, ME 04419-3547 | 2008-07-10 |
| 1184788721 | Community Health and Counseling Services | Clinic/Center | 52 Christian Ridge Rd Ste B, Ellsworth, ME 04605 | 2006-12-20 |
| 1083623045 | Rodolphe Camy | Clinic/Center | 163 Van Buren Road, Suite # 6, Caribou, ME 04736 | 2006-08-07 |
| 1417515461 | K Beladi Fnp LLC | Clinic/Center | 100 Brickhill Ave Ste 304, South Portland, ME 04106-1999 | 2019-06-04 |
| 1225559776 | Heather A Sharkey Do Pa | Clinic/Center | 10 Forest Falls Dr Stop 11, Yarmouth, ME 04096-4900 | 2017-07-05 |
| 1861931404 | Katahdin Valley Health Center | Clinic/Center | 529 S Patten Rd, Patten, ME 04765-3007 | 2017-02-15 |
| 1558803221 | John Hardman Medical Institute | Clinic/Center | 86 New Meadows Rd, West Bath, ME 04530-6292 | 2016-11-13 |
| Find all providers with the same taxonomy | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
Please comment or provide details below to improve the information on KENNEBEC MEDICAL ASSOCIATES, P.A..
| 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.