DR. PAIGE TELLER (NPI# 1578631420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578631420 |
| Entity Type | Individual |
| Full Name | DR. PAIGE TELLER |
| Credential | MD |
| Practice Address |
100 Campus Dr Suite 121 Scarborough ME 04074-7171 |
| Practice Telephone | 2073967788 |
| Practice Fax Number | 2073968500 |
| Mailing Telephone | 2073967788 |
| Mailing Fax Number | 2073968500 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
21056 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
100 CAMPUS DR SUITE 121 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-7171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678112 | Gary M Hochheiser | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2005-06-13 |
| 1720525447 | Theresa Roelke | Nurse Practitioner | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2017-01-20 |
| 1083162481 | Kathlene Gravelin | Genetic Counselor, MS | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2016-09-14 |
| 1851781710 | Katherine Anne Lafferty | Genetic Counselor, MS | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2015-01-30 |
| 1700276581 | Amanda Lamb | Genetic Counselor, MS | 100 Campus Dr, Suite #121, Scarborough, ME 04074-7171 | 2015-01-30 |
| 1073803144 | Summer D Mowry | Nurse Practitioner | 100 Campus Dr, Suite 108, Scarborough, ME 04074-7171 | 2011-04-11 |
| 1912204033 | Mainehealth | General Acute Care Hospital | 100 Campus Dr, Unit 107, Scarborough, ME 04074 | 2011-02-25 |
| 1841596517 | Mainehealth | Internal Medicine | 100 Campus Dr, Suite 110, Scarborough, ME 04074 | 2011-01-28 |
| 1053647024 | Mainehealth | General Acute Care Hospital | 100 Campus Dr, Unit 103, Scarborough, ME 04074-7171 | 2009-10-27 |
| 1588801773 | Karen Anne Phelps | Nurse Practitioner | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2009-01-10 |
| 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 | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801253943 | Kaitlyn Lindsay Scherrer | Surgery | 33 Whiting Hill Rd Ste 33, Brewer, ME 04412-1022 | 2016-01-20 |
| 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.