SHIELDS IMAGING WITH CENTRAL MAINE HEALTH LLC (NPI# 1649754078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649754078 |
Entity Type | Organization |
Organization Name | SHIELDS IMAGING WITH CENTRAL MAINE HEALTH LLC |
Practice Address |
690 Minot Ave Ste 1 Auburn ME 04210-3922 |
Mailing Address |
55 Christy Dr Brockton MA 02301-1813 |
Practice Telephone | 8002584674 |
Mailing Telephone | 8002584674 |
Mailing Fax Number | 8009485706 |
Enumeration Date | 2018-09-21 |
Last Update Date | 2018-09-21 |
Authorized Official Name | JEFFREY RONNER (CFO) |
Authorized Official Telephone | 8002584674 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942797980 | Shields Imaging With Central Maine Health LLC | Clinic/Center | 105 Topsham Fair Mall Rd, Topsham, ME 04086-1773 | 2018-04-16 |
Street Address |
690 MINOT AVE STE 1 |
City | AUBURN |
State | ME |
Zip Code | 04210-3922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003818923 | Bhavagan S Maganti | Anesthesiology | 690 Minot Ave Ste 1, Auburn, ME 04210-3922 | 2005-08-11 |
1376897967 | James Anthony Bois | Registered Nurse | 690 Minot Ave Ste 1, Central Maine Orthopaedics, P.a., Auburn, ME 04210-3922 | 2012-11-03 |
1659456630 | Lisa M Moore | Physician Assistant | 690 Minot Ave Ste 1, Auburn, ME 04210-3922 | 2006-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
Find all providers in zip 04210 |
Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
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---|---|---|---|---|
1417971177 | Community Open Mri of Auburn, LLC | Clinic/Center | 411 Smith Dr, Auburn, IN 46706-3655 | 2006-07-27 |
1235182932 | Midmichigan Regional Imaging | Clinic/Center | 4714 Garfield Rd, Auburn, MI 48611-9434 | 2006-05-17 |
1811953193 | Cascade Surgery Associates, Pllc | Clinic/Center | 122 3rd St Ne, Auburn, WA 98002-4013 | 2006-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356342273 | Nehe-mri, L.L.C. | Clinic/Center | 260 Main St, Suite A, Presque Isle, ME 04769-2804 | 2005-08-02 |
1023619939 | Spectrum Healthcare Partners, Pa | Clinic/Center | 33 Sewall St, Portland, ME 04102-2603 | 2020-11-06 |
1497093793 | Alliance Healthcare Services Inc | Clinic/Center | 20 Hartford St, Houlton, ME 04730-1891 | 2013-01-21 |
1891840260 | Orthopaedic Associates of Portland, P.a. | Clinic/Center | 33 Sewall St, Portland, ME 04102-2603 | 2007-01-24 |
1932153863 | Magnetic Resonance Imaging Associates | Clinic/Center | 489 State St, Bangor, ME 04401-6616 | 2006-05-22 |
1669473591 | Aroostook Mri, LLC | Clinic/Center | 140 Academy St, Presque Isle, ME 04769-3102 | 2005-08-02 |
Please comment or provide details below to improve the information on SHIELDS IMAGING WITH CENTRAL MAINE HEALTH LLC.
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.