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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 12345 | 05 |
Street Address |
101 PRESQUE ISLE RD. |
City | FORT FAIRFIELD |
State | ME |
Zip Code | 04742-0325 |
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 Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
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. |
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 |
City | FORT FAIRFIELD |
Zip Code | 04742 |
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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.