CRYSTAL LEE MACCLINTOCK (NPI# 1700024783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700024783 |
| Entity Type | Individual |
| Full Name | CRYSTAL LEE MACCLINTOCK |
| Credential | RPA-C |
| Practice Address |
891 W Main St Suite 200 Dover Foxcroft ME 04426-1059 |
| Practice Telephone | 2075644464 |
| Mailing Telephone | 2075644464 |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2014-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1455 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
891 W MAIN ST SUITE 200 |
| City | DOVER FOXCROFT |
| State | ME |
| Zip Code | 04426-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174503015 | Narasimha Swamy | Surgery | 891 W Main St, Suite 500, Dover Foxcroft, ME 04426-1059 | 2006-01-18 |
| 1942773130 | Cathleen Brown | Nurse Practitioner | 891 W Main St, Dover Foxcroft, ME 04426-1059 | 2019-01-10 |
| 1578958161 | Jody Annis | Registered Nurse | 891 W Main St, Suite 200, Dover Foxcroft, ME 04426-1059 | 2015-04-01 |
| 1346549979 | Lisa Michelle Stout | Family Medicine | 891 W Main St, Suite 200, Dover Foxcroft, ME 04426-1059 | 2011-03-22 |
| 1861792483 | Ahmad Abed Elnoor | Urology | 891 W Main St, 500, Dover Foxcroft, ME 04426-1059 | 2010-10-29 |
| 1215155536 | Brian Thomas Miller | Otolaryngology | 891 W Main St, Suite 500, Dover Foxcroft, ME 04426-1059 | 2007-04-23 |
| 1548382328 | Mrh Corp. | Family Medicine | 891 W Main St, Suite 200, Dover Foxcroft, ME 04426-1059 | 2007-04-04 |
| 1063594653 | Abhijit Shaligram | Surgery | 891 W Main St, Suite 700, Dover Foxcroft, ME 04426-1059 | 2006-10-20 |
| 1205936606 | Joanne Reiniger | Physician Assistant | 891 W Main St, Suite 200, Dover Foxcroft, ME 04426-1059 | 2006-09-25 |
| 1659484491 | Jeffrey Allen Cole | Surgery | 891 W Main St, Suite 700, Dover Foxcroft, ME 04426-1059 | 2006-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710429691 | Rachel Fillmore | Counselor | 121 Summer St, Dover Foxcroft, ME 04426 | 2016-11-09 |
| 1215256763 | Kristen Fowles Goddard | Genetic Counselor, MS | 897 West Main Street, Dover-foxcroft, ME 04426 | 2010-05-24 |
| 1407088131 | Kylie Jalene Spratt | Speech-Language Pathologist | 50 Pine Crest Drive, Dover Foxcroft, ME 04426 | 2009-08-13 |
| 1730323205 | Two Rivers Child Development Services | Occupational Therapist | 1092a Douty Hill Road, Dover Foxcroft, ME 04426 | 2009-04-28 |
| 1548463623 | Mrh Corp. | General Acute Care Hospital | 897 W Main Street, Dover Foxcroft, ME 04426 | 2007-06-07 |
| 1992845101 | Elizabeth A. Carolin | Social Worker | 572 Bangor Rd., Dover Foxcroft, ME 04426 | 2007-02-07 |
| 1679583678 | Richard Clarke Macdonald | General Practice | 3 Forest St, Dover-foxcroft, ME 04426 | 2006-08-09 |
| 1659327187 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 1073 W Main St, Suite 9, Dover Foxcroft, ME 04426 | 2006-05-26 |
| 1730143439 | Sheila M Miller | Optometrist | 31 North St, Dover Foxcroft, ME 04426 | 2006-04-12 |
| 1588625602 | Howard A Sleeper | Optometrist | 5 Monument Square Ln, Dover Foxcroft, ME 04426 | 2006-03-29 |
| Find all providers in zip 04426 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205936606 | Joanne Reiniger | Physician Assistant | 891 W Main St, Suite 200, Dover Foxcroft, ME 04426-1059 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1073081428 | Ishah Marie Price | Physician Assistant | 30 Preble St Apt 663, Portland, ME 04101-4939 | 2018-11-04 |
| 1073056412 | Sara Burdick | Physician Assistant | 9 Healthcare Dr Ste 202, Biddeford, ME 04005-9450 | 2016-12-01 |
| 1487068565 | Andrew Cutter | Physician Assistant | 31 Annies Way, Gorham, ME 04038-2391 | 2014-06-17 |
| 1629337902 | Shannon N Moreau | Physician Assistant | 343 Us Route 1, York, ME 03909-1636 | 2012-05-08 |
| 1366769085 | David Arthur Hamel | Physician Assistant | 85 Brixham Rd, York, ME 03909-5342 | 2010-04-21 |
| 1164751152 | Elaine M Cadorette | Physician Assistant | 100 Foden Rd., West Building Suite 103, South Portland, ME 04106-2351 | 2009-12-22 |
| 1316130198 | Ronald W Kessler | Physician Assistant | 632 Brighton Ave, Portland, ME 04102-1017 | 2007-08-24 |
| 1932300142 | Ian Fm Buchan | Physician Assistant | Central Maine Partners In Health, 30 Belgrade Avenue, Auburn, ME 04210 | 2007-05-29 |
| 1316159072 | Bruce Brokaw | Physician Assistant | 400 Captain Thomas Road, Wells, ME 04090-7552 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
| City | DOVER FOXCROFT |
| Zip Code | 04426 |
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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.