YORK HOSPITAL DBA COASTAL OB-GYN, LLC (NPI# 1699860270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699860270 |
| Entity Type | Organization |
| Organization Name | YORK HOSPITAL DBA COASTAL OB-GYN, LLC |
| Practice Address |
112 Sanford Road Suite 2a Wells ME 04090 |
| Mailing Address |
Po Box 810 Westbrook ME 04098 |
| Practice Telephone | 2076418044 |
| Practice Fax Number | 2076418169 |
| Mailing Telephone | 2078541544 |
| Mailing Fax Number | 2078541516 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-01-09 |
| Authorized Official Name | MS. ROBIN LABONTE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2073512391 |
| Is Organization Subpart | Y |
| Parent Organization Name | YORK HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | GROUP NPI # | 1699860270 | 01 |
| ME | JENNIFER EATON DO IND NPI | 1649364233 | 01 |
| ME | 432208399 | 05 | |
| ME | MARK C TORRES DO IND NPI | 1124026208 | 01 |
| ME | STEPHEN WAGONER MD IND NP | 1861587305 | 01 |
| ME | JANE ADAMS APRN IND NPI | 1154430023 | 01 |
| Street Address |
112 SANFORD ROAD SUITE 2A |
| City | WELLS |
| State | ME |
| Zip Code | 04090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891239679 | Avita Wells LLC | Alzheimer Center (Dementia Center) | 86 Sanford Road, Wells, ME 04090 | 2016-12-13 |
| 1588811699 | Cvs State Capital, L.L.C. | Durable Medical Equipment & Medical Supplies | 11 Steeple Way, Wells, ME 04090 | 2008-08-20 |
| 1235322561 | Gregory Evan Thibeault | Physical Therapist | 112 Sanfor Road (rt. 109), Wells Physical Therapy, Wells, ME 04090 | 2007-08-21 |
| 1962604496 | Elizabeth Marie Anderson | Physical Therapist | 57 Cranberry St, Wells, ME 04090 | 2007-06-05 |
| 1285856146 | Sandra Lee Cionni | Speech-Language Pathologist | 867 Cheney Woods Road, Wells, ME 04090 | 2007-05-02 |
| 1265651814 | Wells Ogunquit Community School District | Local Education Agency (LEA) | 1460 Post Road, Wells, ME 04090 | 2007-04-24 |
| 1164649174 | Jus Crea Andrea Giammarino | Preventive Medicine | 1239 Post Road, Wells, ME 04090 | 2007-04-19 |
| 1104902188 | Caren Klein | Social Worker | 43 Sanford Rd, Wells, ME 04090 | 2006-10-31 |
| 1184700155 | Douglas Stephen Merrill | Chiropractor | 2550 Post Road, Wells, ME 04090 | 2006-10-31 |
| 1467544668 | Jeffrey T Cote | Family Medicine | 59 Mile Road, Wells, ME 04090 | 2006-09-28 |
| Find all providers in zip 04090 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477547909 | Robert P Cervenka | Obstetrics & Gynecology | 112 Sanford Rd, Wells, ME 04090-5533 | 2005-09-12 |
| 1124290895 | Coastal Ob Gyn | Obstetrics & Gynecology | 112 Sanford Rd, Ste 2a, Wells, ME 04090-5533 | 2008-04-02 |
| 1821188897 | Kent John Scherr | Obstetrics & Gynecology | 112 Sanford Rd, Suite 2a, Wells, ME 04090-5533 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554924 | Lissa Marie Diaz Ecker | Obstetrics & Gynecology | 7 Tiger Lily Ln, Cape Elizabeth, ME 04107-5107 | 2019-02-13 |
| 1851749089 | Erica Leigh Jacovetty | Obstetrics & Gynecology | 121 Medical Center Dr Ste 2700, Brunswick, ME 04011-2669 | 2016-05-27 |
| 1902268048 | Jordan Faloon | Obstetrics & Gynecology | 193 Main St Ste 3, Norway, ME 04268-5645 | 2016-03-28 |
| 1053724757 | Alec Anderson | Obstetrics & Gynecology | 417 State Stree, Webber West Suite 141, Bangor, ME 04401 | 2014-06-10 |
| 1760820385 | John Ogorek | Obstetrics & Gynecology | 100 Brickhill Ave Ste 23, Portland, ME 04106-1999 | 2013-06-05 |
| 1174877187 | Karen Lynn King | Obstetrics & Gynecology | 8 Balsam Ave, Brunswick, ME 04011-9369 | 2012-10-30 |
| 1841557170 | Eleonore Pettit Werner | Obstetrics & Gynecology | 84 Marginal Way Ste 900, Portland, ME 04101-2476 | 2012-04-11 |
| 1669606521 | Caroline Foust-wright | Obstetrics & Gynecology | 300 Southborough Dr, Suite 201, South Portland, ME 04106-6914 | 2009-05-07 |
| 1477787364 | Jennifer Zeliger | Obstetrics & Gynecology | Franklin Health Women's Care, 181 Franklin Health Commons, Farmington, ME 04938 | 2009-05-07 |
| 1356548168 | Christopher Alan Rumsey | Obstetrics & Gynecology | 700 Mount Hope Ave Ste 480, Bangor, ME 04401-5659 | 2007-06-27 |
| Find all providers with the same taxonomy | ||||
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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.