KATHRYN BROKUS (NPI# 1669885596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669885596 |
| Entity Type | Individual |
| Full Name | KATHRYN BROKUS |
| Credential | D.O. |
| Practice Address |
35 Walker St Kittery ME 03904 |
| Mailing Address |
35 Walker St Kittery ME 03904-1727 |
| Practice Telephone | 2074394430 |
| Practice Fax Number | 2074390968 |
| Mailing Telephone | 2074394430 |
| Mailing Fax Number | 2073512216 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO2726 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1669885596 | 05 |
| Street Address |
35 WALKER ST |
| City | KITTERY |
| State | ME |
| Zip Code | 03904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144294117 | John Barron Stallman II | Otolaryngology | 35 Walker St, Ste 200, Kittery, ME 03904-1727 | 2006-02-15 |
| 1902379274 | Nicolette K Caron | Physician Assistant | 35 Walker St, Kittery, ME 03904-1727 | 2019-01-09 |
| 1568937159 | Nicholas J Coppins | Family Medicine | 35 Walker St, Kittery, ME 03904-1727 | 2018-10-10 |
| 1154783769 | Kimberlee Smith | Nurse Practitioner | 35 Walker St, Kittery, ME 03904-1727 | 2016-03-23 |
| 1649513433 | Emily Jean Katz | Physician Assistant | 35 Walker St, Kittery, ME 03904-1727 | 2013-04-01 |
| 1518214097 | Jennifer M Regan | Nurse Practitioner | 35 Walker St, Kittery, ME 03904-1727 | 2012-08-14 |
| 1194070201 | York Hospital | Clinic/Center | 35 Walker St, Kittery, ME 03904-1727 | 2012-07-16 |
| 1902114408 | Aria Rae Gibbons | Physician Assistant | 35 Walker St, Kittery, ME 03904-1727 | 2010-09-17 |
| 1699000240 | Brittny Daly | Physician Assistant | 35 Walker St, My Health @ Kittery, York Hospital, Kittery, ME 03904-1727 | 2009-10-14 |
| 1861649147 | Kenneth Boyd Tolman | Physician Assistant | 35 Walker St, Kittery, ME 03904-1727 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396291878 | Rae Lynn Stackpoole | Occupational Therapist | 518 Us Route 1 # 14&16, Kittery, ME 03904 | 2016-08-25 |
| 1457713117 | Nathaniel John Irvine | General Practice | Naval Branch Health Clinic Portsmouth, 1 Ayres Circle, Portsmouth, NH 03904 | 2016-03-22 |
| 1245508217 | Sabrina Blackwell | Physician Assistant | One Ayres Circle, Bldg H-1, Pns, Kittery, ME 03904 | 2011-12-06 |
| 1538455431 | Conant Associates LLC | Counselor | 435 Rt 1, Suite 2, Kittery, ME 03904 | 2011-06-20 |
| 1275852055 | Tyler James Lowe | Optometrist | 99 Route 1 Bypass, Suite A, Kittery, ME 03904 | 2010-05-19 |
| 1881917359 | Ethel's Tree of Life, Inc. | Point of Service | 518 Rte 1, Kittery, ME 03904 | 2010-03-11 |
| 1144468968 | Wende Pediatrics | Pediatrics | 518 Us Route 1, Suite A-7, Kittery, ME 03904 | 2009-02-02 |
| 1881866580 | Kittery Commons LLC | Skilled Nursing Facility | 9 Lewis Road, Kittery, ME 03904 | 2008-04-02 |
| 1497968358 | Alice Gansecki Meattey | Acupuncturist | 74 State Road, Suite Number 201, Kittery, ME 03904 | 2007-05-08 |
| 1154473643 | Yuri Belopolsky | Acupuncturist | 30 1/2 George St., Kittery, ME 03904 | 2007-01-17 |
| Find all providers in zip 03904 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851480149 | Mark F. Graziano | Family Medicine | 22 Shapleigh Rd, Kittery, ME 03904 | 2006-10-12 |
| 1548255235 | Lawrence Hankin | Family Medicine | 139 State Rd, Kittery, ME 03904-1519 | 2005-09-19 |
| 1568937159 | Nicholas J Coppins | Family Medicine | 35 Walker St, Kittery, ME 03904-1727 | 2018-10-10 |
| 1215164082 | Nathan T. Jean | Family Medicine | 22 Shapleigh Rd, Kittery, ME 03904-1455 | 2009-06-18 |
| 1558521807 | Amy Grzysiewicz | Family Medicine | 22 Shapleigh Rd, Kittery, ME 03904-1455 | 2008-06-11 |
| 1710152947 | Kittery Family Practice | Family Medicine | 22 Shapleigh Rd, Kittery, ME 03904-1455 | 2008-04-29 |
| 1033381702 | Kittery Family Practice | Family Medicine | 22 Shapleigh Rd, Kittery, ME 03904-1455 | 2008-04-02 |
| 1528252822 | Heather Moher | Family Medicine | 22 Shapleigh Rd, Kittery, ME 03904-1455 | 2007-08-29 |
| 1730255621 | Kittery Family Practice Pa | Family Medicine | 22 Shapleigh Road, Kittery, ME 03904 | 2006-11-24 |
| 1457440737 | William K. Gilbert | Family Medicine | 22 Shapleigh Road, Kittery, ME 03904 | 2006-10-12 |
| Find all providers in KITTERY | ||||
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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.