MR. MICHAEL A MCKAY (NPI# 1669595369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669595369 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL A MCKAY |
| Credential | MSN, CRNP |
| Practice Address |
22 Bramball Street- Opd Clinic Maine Medical Center Portland ME 04102 |
| Mailing Address |
22 Bramhall Street Maine Medical Center - Outpatient Clinic Portland ME 04102 |
| Practice Telephone | 2076622911 |
| Mailing Telephone | 2076622911 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2009-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP081897 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MAINE STATE BOARD OF NURSING | AP081897 | 01 |
| ME | DEA | MM0645905 | 01 |
| ME | MAINE RN LICENSE | R054887 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639494461 | Michael Joseph Mckay | Anesthesiology | 6770 Liberty Road N, Powell, OH 43065-8202 | 2010-04-05 |
| 1134339138 | Michael Scott Mckay | Dentist | 1536 Norwich New London Tpke, Uncasville, CT 06382-1626 | 2007-05-22 |
| 1093165078 | Michael Mckay | Dentist | 202 W Naches Ave, Selah, WA 98942-1326 | 2016-06-21 |
| 1659761179 | Michael J. Mckay | Behavioral Analyst | 41a Rockland St, Holliston, MA 01746-1435 | 2015-02-04 |
| 1083988745 | Michael Colin Mckay | Counselor | 6691 Convoy Ct, San Diego, CA 92111-1008 | 2012-02-28 |
| 1134401821 | Michael James Mckay | Pharmacist | 25 Storey Ave, Newburyport, MA 01950-1869 | 2011-09-19 |
| 1427344779 | Michael F Mckay | Physical Therapist | 3155 W Craig Rd, Suites 120 & 130, North Las Vegas, NV 89032-0782 | 2011-06-24 |
| 1265449029 | Michael Joseph Mckay | Nurse Practitioner | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2006-08-02 |
| 1649257858 | Michael A Mckay | Obstetrics & Gynecology | 14231 Seaway Rd, Suite 3004, Gulfport, MS 39503-4628 | 2005-12-29 |
| 1932185956 | Michael Dixon Mckay | Internal Medicine | 2417 Atrium Dr, Suite 150, Raleigh, NC 27607-6673 | 2005-12-21 |
| Street Address |
22 BRAMBALL STREET- OPD CLINIC MAINE MEDICAL CENTER |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1497309652 | Dorothy Elizabeth Zirkle | Nurse Practitioner | 66 Bramhall St Ste Gi, Portland, ME 04102-3344 | 2019-07-26 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1154694941 | Donald Upton | Nurse Practitioner | 6959 N Fenwick Ave, Portland, OR 97217-5305 | 2012-02-09 |
| 1497073936 | Jeffrey Grimm | Nurse Practitioner | 1741 Nw 24th Ave, Portland, OR 97210 | 2010-05-07 |
| 1548469869 | Ashlyn J Cross | Nurse Practitioner | Department of Dermatology 3303 Bond Ave., Portland, OR 97239-4501 | 2007-07-17 |
| 1326256959 | Mary Thompson Pierce | Nurse Practitioner | 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2533 | 2007-05-18 |
| 1669595237 | Shannon Marie Gwartney | Nurse Practitioner | 808 Sw 15th Ave., Portland, OR 97205 | 2007-04-09 |
| Find all providers in PORTLAND | ||||
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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.