MAINE MOBILE MRI ASSOCIATES (NPI# 1649607524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649607524 |
| Entity Type | Organization |
| Organization Name | MAINE MOBILE MRI ASSOCIATES |
| Practice Address |
149 North St Waterville ME 04901-4974 |
| Mailing Address |
Po Box 1849 Lewiston ME 04241-1849 |
| Practice Telephone | 2078721000 |
| Mailing Telephone | 2077842554 |
| Mailing Fax Number | 2077775363 |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |
| Authorized Official Name | PETER GIUSTRA (MANAGING PARTNER) |
| Authorized Official Telephone | 2077842554 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINE MOBILE MRI ASSOCIATES - WATERVILLE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235567843 | Maine Mobile Mri Associates | Radiology | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2013-10-16 |
| 1902233885 | Maine Mobile Mri Associates | Radiology | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2013-10-09 |
| 1518944313 | Maine Mobile Mri Associates | Radiology | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2005-12-22 |
| Street Address |
149 NORTH ST |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-4974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083691869 | Robin M Wood | Nuclear Medicine | 149 North St, Waterville, ME 04901-4974 | 2005-12-22 |
| 1588289961 | Kellee Gorgone | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2020-06-11 |
| 1962027656 | Thomas Pentzer | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2020-06-09 |
| 1437774122 | Anita Nwanna-nzewunwa | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2020-06-09 |
| 1487279162 | Jesse Leeds | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2020-06-09 |
| 1093366239 | Danielle Rice | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2019-09-27 |
| 1528627080 | Lisa Smith | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2019-06-10 |
| 1215596762 | Rose Knudsen | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2019-06-09 |
| 1053970509 | Lara Householder | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2019-06-09 |
| 1033694807 | Elizabeth Harwood | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2018-09-27 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043222334 | James D. Raque | Radiology | 149 North Street, Waterville, ME 04901-4974 | 2006-08-13 |
| 1821439258 | Radiology Alliance of Maine LLC | Radiology | 149 North St, Radiology Dept., Waterville, ME 04901-4974 | 2013-07-15 |
| 1841227030 | Michael S Berry | Radiology | 149 North St, Waterville, ME 04901-4974 | 2006-06-26 |
| 1609856665 | Zaki Nashed | Radiology | 149 North St, Waterville, ME 04901-4974 | 2006-01-18 |
| 1356328421 | Mid-maine Radiology, P.a | Radiology | 149 North St, Waterville, ME 04901-4974 | 2005-12-29 |
| 1760469563 | Jonathan J Hallenbeck | Radiology | 149 North St, Waterville, ME 04901-4974 | 2005-12-22 |
| 1992782759 | Johannes Hendrik Jordaan | Radiology | 149 North St, Waterville, ME 04901-4974 | 2005-12-22 |
| 1881671667 | Paul D Gagliardi | Radiology | 149 North St, Waterville, ME 04901-4974 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922655562 | Insight-premier Health LLC | Radiology | 489 State St Ste 100, Bangor, ME 04401-6616 | 2019-08-19 |
| 1750873998 | Los Robles Radiologic Associates | Radiology | 30 Rosa Way, Cumberland, ME 04021-3527 | 2018-06-04 |
| 1407268857 | Lauren Fetty | Radiology | 731 Sligo Rd, North Yarmouth, ME 04097-6207 | 2014-05-20 |
| 1588096085 | Telerad of Me Account Management, LLC | Radiology | 67 Pepperrell Rd, Kittery Point, ME 03905 | 2013-08-07 |
| 1932454477 | Michael R Voth | Radiology | 13 Phillips Cove Rd, Cape Neddick, ME 03902-7356 | 2012-07-20 |
| 1831422377 | Edward Brewer | Radiology | 67 Pepperrell Road, Kittery Point, ME 03905 | 2009-09-16 |
| 1720259476 | John Henry Hotchkiss Iv | Radiology | 28 Market St Ste 201, Fort Kent, ME 04743-1417 | 2008-03-20 |
| 1174653778 | Robert P Andrews | Radiology | 2060 Dexter Rd, Dover Foxcroft, ME 04426-4021 | 2007-03-06 |
| 1366523235 | Cynthia S. Lyle | Radiology | 4 Berman Rd, Cape Elizabeth, ME 04107-2435 | 2006-10-18 |
| 1912092552 | Peter A Triolo | Radiology | 20 Hartford Street, Houlton, ME 04730-1859 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
Please comment or provide details below to improve the information on MAINE MOBILE MRI ASSOCIATES.
| 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.