DR. JACQUELYN A. HEDLUND (NPI# 1699746453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699746453 |
| Entity Type | Individual |
| Full Name | DR. JACQUELYN A. HEDLUND |
| Credential | MD |
| Practice Address |
100 Campus Drive Suite 108 Scarborough ME 04074-9308 |
| Mailing Address |
P.o. Box 911 Brattleboro VT 05302 |
| Practice Telephone | 2073967600 |
| Practice Fax Number | 2073967986 |
| Mailing Telephone | 2073967600 |
| Mailing Fax Number | 2073967986 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
13509 | ME | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
13509 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | AETNA | 5656679 | 01 |
| ME | CIGNA | 6628849 | 01 |
| ME | AETNA HMO | 2017782 | 01 |
| ME | ANTHEM BCBS | 030520 | 01 |
| ME | 288720099 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Topsham Fair Mall Rd Unit 1, Topsham, ME 040861773 | 2077291148 | 2077292789 |
| 51 Us Route 1 Ste I, Scarborough, ME 040747145 | 2073033300 | 2073033016 |
| 2 Independence Dr, Kennebunk, ME 040436078 | 2079850008 | 2079859820 |
| Street Address |
100 CAMPUS DRIVE SUITE 108 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-9308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651584 | Christian Anton Thomas | Internal Medicine | 100 Campus Drive, Suite 108, Scarborough, ME 04074 | 2005-07-05 |
| 1881180339 | Stephanie Wiryaman Sharp | Genetic Counselor, MS | 100 Campus Drive, Suite 121, Scarborough, ME 04074 | 2018-07-09 |
| 1881109072 | Deny Grace Talakshi | Nurse Practitioner | 100 Campus Drive, Suite 107, Scarborough, ME 04074 | 2017-12-10 |
| 1922266535 | Arlene Circe Damon | Nurse Practitioner | 100 Campus Drive, Suite 108, Scarborough, ME 04073 | 2008-05-30 |
| 1235330390 | Dixie L Knoll | Nurse Practitioner | 100 Campus Drive, Suite 108, Scarborough, ME 04074 | 2007-05-29 |
| 1518183532 | Devon L Evans | Internal Medicine | 100 Campus Drive, Suite 108, Scarborough, ME 04074 | 2007-04-18 |
| 1164584652 | Julie L Baither | Nurse Practitioner | 100 Campus Drive, Suite 108, Scarborough, ME 04074 | 2006-12-14 |
| 1922192491 | Elizabeth G Murray | Social Worker | 100 Campus Drive, Unit 107, Scarborough, ME 04074 | 2006-10-02 |
| 1407940984 | S. Ashley Speckhart | Pediatrics | 100 Campus Drive, Unit 107, Scarborough, ME 04074 | 2006-10-02 |
| 1013945708 | Aaron R Weiss | Pediatrics | 100 Campus Drive, Unit 107, Scarborough, ME 04074-9692 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093063224 | Robert Swart Hillman | Internal Medicine | 3 Wildwood Ln, Scarborough, ME 04074-9436 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861552903 | Johnson Liu | Internal Medicine | 265 Western Ave, South Portland, ME 04106-2458 | 2006-12-11 |
| 1073532412 | Marjorie Ann Boyd | Internal Medicine | 19 Bramhall St, Portland, ME 04102-3101 | 2006-07-18 |
| 1811987316 | Andrew D Mckee | Internal Medicine | 269 Peacock Hill Rd, New Gloucester, ME 04260-3419 | 2005-10-26 |
| City | SCARBOROUGH |
| Zip Code | 04074 |
Please comment or provide details below to improve the information on DR. JACQUELYN A. HEDLUND.
| 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.