DR. KERRY ALLISON LAVIGNE (NPI# 1700052792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700052792 |
| Entity Type | Individual |
| Full Name | DR. KERRY ALLISON LAVIGNE |
| Other Name | KERRY ALLISON SHARPE |
| Credential | M.D. |
| Practice Address |
6 Glen Cove Dr Rockport ME 04856-4240 |
| Practice Telephone | 2079213750 |
| Practice Fax Number | 2079215375 |
| Mailing Telephone | 2079213750 |
| Mailing Fax Number | 2079215375 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2016-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD19615 | ME | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | VA | Student, Health Care | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6 GLEN COVE DR |
| City | ROCKPORT |
| State | ME |
| Zip Code | 04856-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113527 | Peter E Giustra | Nuclear Medicine | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2005-06-13 |
| 1295343259 | Christine Elaine Buss | Physical Therapist | 6 Glen Cove Dr, Rockport, ME 04856-4272 | 2020-07-16 |
| 1851913875 | Corinne Zdanuk | Nurse Practitioner | 6 Glen Cove Dr, Rockport, ME 04856-4272 | 2020-05-13 |
| 1215567839 | Rebecca M Stephens | Physical Therapist | 6 Glen Cove Dr, Rockport, ME 04856-4273 | 2020-01-23 |
| 1104487925 | Nicole S Crockett | Occupational Therapist | 6 Glen Cove Dr, Rockport, ME 04856-4273 | 2019-06-24 |
| 1750941878 | Tonia Mclaughlin | Occupational Therapist | 6 Glen Cove Dr, Rockport, ME 04856-4273 | 2019-06-20 |
| 1700446754 | Cathleen Spencer Dorr | Occupational Therapist | 6 Glen Cove Dr, Rockport, ME 04856-4273 | 2019-06-20 |
| 1265092316 | Cheryl Chase | Physical Therapist | 6 Glen Cove Dr, Rockport, ME 04856-4273 | 2019-06-19 |
| 1922567437 | Jasmin Downing | Occupational Therapist | 6 Glen Cove Dr, Rockport, ME 04856-4273 | 2019-03-14 |
| 1578043378 | Mainehealth | General Acute Care Hospital | 6 Glen Cove Dr, Rockport, ME 04856-4273 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171585 | Lisa Manley | Physical Therapist | 6 Glen Cove Drive, Pbmc, Rockport, Me, ME 04856 | 2018-07-25 |
| 1871096834 | Brenda K Berry | Registered Nurse | 731 Commercial Street, Rockport, ME 04856 | 2018-03-15 |
| 1174908495 | Atlantic Behavior Services, Inc | Behavioral Analyst | 112 Union Street, Rockport, ME 04856 | 2015-07-28 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1790024438 | Michelle Gallant | Dental Hygienist | 37 Chickawaukie Pond Rd, Rockport, ME 04856 | 2013-01-31 |
| 1316221666 | Nancy K Alexander | Advanced Practice Midwife | 3 Glen Cove Dr Ste 1, Rockport, ME 04856 | 2011-10-05 |
| 1619283793 | Karen Canfield | Social Worker | 41 Forsest St, Rockport, ME 04856 | 2010-08-26 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1598999369 | Patricia L. Kristiansen | Occupational Therapy Assistant | 6 Madelyn Lane, Rockport, ME 04856 | 2009-05-08 |
| 1801020797 | Tiffany Ann Darge | Dental Hygienist | 1060 Commercial St., Rockport, ME 04856 | 2009-05-07 |
| Find all providers in zip 04856 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440011 | Camden Dermatology & Mohs Surgery LLC | Dermatology | 195 Union St, Rockport, ME 04856-6107 | 2017-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952747784 | Dan Filitis | Dermatology | 6 E Chestnut St Ste 340, Augusta, ME 04330-5760 | 2013-05-20 |
| 1285656413 | Brian Patrick O'donnell | Dermatology | 407 Us Route 1, Freeport, ME 04032-7023 | 2006-07-24 |
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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.