DERRICK S TOOTH (NPI# 1639260847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639260847 |
Entity Type | Individual |
Full Name | DERRICK S TOOTH |
Credential | MD |
Practice Address |
1053 Western Ave Manchester ME 04351-3403 |
Mailing Address |
9 Pleasant Street Suite 2 Oakland ME 04963 |
Practice Telephone | 2076226319 |
Practice Fax Number | 2076226654 |
Mailing Telephone | 2074652700 |
Mailing Fax Number | 2074652300 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2012-12-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 014663 | ME | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | ANTHEM | 030440 | 01 |
AETNA | 1041053 | 01 | |
ME | 255890099 | 05 |
Street Address |
1053 WESTERN AVE |
City | MANCHESTER |
State | ME |
Zip Code | 04351-3403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013205558 | Northern New England Diagnostics | Clinical Medical Laboratory | 1053 Western Ave, Manchester, ME 04351-3403 | 2011-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
1740563428 | Insight-premier Health LLC | Clinic/Center | 27 Bowdoin Street, Manchester, ME 04351 | 2011-09-20 |
1427353069 | Robin Page Dufour | Physical Therapist | 6 Rockwood Dr, Suite 2, Manchester, ME 04351 | 2011-01-12 |
1174839708 | Richard Ofoe Kavi | Pharmacist | 943 Western Ave, Manchester, ME 04351 | 2010-08-20 |
1700199031 | Neil A Graves | Pharmacist | 943 Western Ave., Manchester, ME 04351 | 2010-07-15 |
1427212059 | Dustin R Sulak | Family Medicine | 964 Western Ave., Manchester, ME 04351 | 2008-07-14 |
1437312295 | Crossroads Counseling Center Pllc | Social Worker | 726 Western Ave., Manchester, ME 04351 | 2008-07-02 |
1548453616 | Christopher Paul Beaudoin | Social Worker | 15 Range Way Suite 3, Manchester, ME 04351 | 2007-08-22 |
1275724288 | Shawn Kenneth Hodgdon | Social Worker | 726 Western Avenue, Manchester, ME 04351 | 2007-08-05 |
1790900512 | Scott A Hayward | Social Worker | 15 Range Way, Suite 3, Manchester, ME 04351 | 2007-04-16 |
Find all providers in zip 04351 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689842544 | Sidney Robert Katz | Urology | 781 Smyth Rd, Va Medicalcenter, Manchester, NH 03104 | 2008-02-13 |
1396852786 | Armando E Lopez | Urology | 718 Smyth Rd Fl 3, Manchester, NH 03104 | 2006-08-23 |
1588622757 | Cyrus B Noble | Urology | 4 Elliot Way Ste 200, Manchester, NH 03103-3544 | 2006-05-03 |
1942276977 | Arthur E. Lamontagne Jr. | Urology | 116 E Center St, Manchester, CT 06040-5215 | 2006-02-28 |
1922089903 | Gary Douglas Corrie | Urology | 822 Mcarthur St, Manchester, TN 37355 | 2005-11-08 |
1003475914 | Jason Akerman | Urology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-06-13 |
1578805164 | John James Griffith | Urology | 360 Tolland Tpke, Manchester, CT 06042 | 2013-03-21 |
1699091546 | Trisha Juliano Kammann | Urology | 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 | 2010-04-18 |
1174705313 | David Jeremy Rosenberg | Urology | 116 E Center St, Suite 19, Manchester, CT 06040-5215 | 2007-11-29 |
1043427438 | Samuel T Snipes | Urology | 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 | 2007-05-17 |
Find all providers in MANCHESTER |
City | MANCHESTER |
Zip Code | 04351 |
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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.