DR. IVAN L SHAPIRO


Address: 101 Presque Isle Rd., Fort Fairfield, ME 04742-0325
Phone: 2074760000

DR. IVAN L SHAPIRO (NPI# 1689905283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689905283
Entity Type Individual
Full Name DR. IVAN L SHAPIRO
Credential M.D.
Practice Address 101 Presque Isle Rd.
Fort Fairfield
ME 04742-0325
Mailing Address Po Box 325
Fort Fairfield
ME 04742-0325
Practice Telephone 2074760000
Practice Fax Number 2074720000
Mailing Telephone 2074760000
Mailing Fax Number 2074720000
Enumeration Date 2010-01-21
Last Update Date 2010-01-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 014053 ME Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
014053 ME Allopathic & Osteopathic Physicians
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 014053 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME 12345 05

Office Location

Street Address 101 PRESQUE ISLE RD.
City FORT FAIRFIELD
State ME
Zip Code 04742-0325

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821612664 Clement Spencer Counselor 274 Main St, Fort Fairfield, ME 04742 2020-06-06
1699188748 Merry Bragg Social Worker 8 Wesleyan St, Fort Fairfield, ME 04742 2014-06-06
1710921945 Palwinder Kaur-panesar Dentist 206 Main St, Ft Fairfield, ME 04742 2006-06-16
1952931859 Judith Marie Pimental Nurse Practitioner 23 High St, Fort Fairfield, ME 04742-1021 2020-01-20
1356903082 Samantha Phyllis Paradis Nurse Practitioner 23 High St, Fort Fairfield, ME 04742-1021 2019-07-02
1720574338 Pamela Lynn Willette Registered Nurse 23 High St, Fort Fairfield, ME 04742-1021 2018-07-06
1285177824 Christine Marie O'meara Registered Nurse 23 High St, Fort Fairfield, ME 04742-1021 2016-11-30
1376992768 Kristi Fecteau Nurse Practitioner 23 High St, Fort Fairfield, ME 04742-1021 2016-06-07
1154761823 Christie Lynn Wolf Nurse Practitioner 23 High St, Fort Fairfield, ME 04742-1021 2013-06-26
1508092305 Brian A Adrian Family Medicine 23 High St, Fort Fairfield, ME 04742-1021 2009-06-08
Find all providers in zip 04742

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346618741 Carl E Bredenberg Jr. Surgery 8 Fox Hill Rd, Cape Elizabeth, ME 04107-2007 2015-09-02
1477830198 Maine Vein Center Associates, LLC Surgery 21 Northbrook Dr # B, Falmouth, ME 04105-1379 2011-11-09
1205086196 Edward Michael Friedman Surgery 134 Deep Cv, Raymond, ME 04071-6523 2008-09-26
1811382773 Vincent Noori Surgery 22 Bramhall St, Portland, ME 04102-3134 2015-03-30
1386056752 Michael N Neilson Surgery 35 Medical Center Pkwy, Augusta, ME 04330-8160 2014-05-20
1053750349 Peter Beaulieu Surgery 489 State St, Bangor, ME 04401-6616 2013-06-19
1770921462 Kimberly Taylor Malka Surgery 22 Bramhall St, Portland, ME 04102 2013-06-05
1134565492 Anna Marie Boniakowski Surgery 887 Congress St Ste 400, Portland, ME 04102-3163 2013-05-14
1548593270 Edward Alexander Mcgillicuddy Surgery 60 High St, Lewiston, ME 04240-7616 2009-09-14
1649430315 Christopher Hilles Byrne Surgery 489 State St, Vascular Care of Maine, Bangor, ME 04401-6616 2008-06-16
Find all providers with the same taxonomy

Competitor

Search similar providers

City FORT FAIRFIELD
Zip Code 04742

Improve Information

Please comment or provide details below to improve the information on DR. IVAN L SHAPIRO.

Dataset Information

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.

Trending Searches