PORTLAND ORTHOPAEDIC FOOT AND ANKLE CENTER (NPI# 1700881638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700881638 |
| Entity Type | Organization |
| Organization Name | PORTLAND ORTHOPAEDIC FOOT AND ANKLE CENTER |
| Practice Address |
254 Western Ave South Portland ME 04106-2410 |
| Mailing Address |
254 Western Ave South Portland ME 04106 |
| Practice Telephone | 2077743338 |
| Practice Fax Number | 2077752307 |
| Mailing Telephone | 2077743338 |
| Mailing Fax Number | 2077752307 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GREGORY C POMEROY JR. (ORTHOPAEDIC SURGEON) |
| Authorized Official Telephone | 2077743338 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
254 WESTERN AVE |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205351699 | Adam Saltz | Dentist | 254 Western Ave, South Portland, ME 04106-2410 | 2017-08-07 |
| 1124448196 | Christopher Mark Buttarazzi | Psychiatry & Neurology | 254 Western Ave, South Portland, ME 04106-2410 | 2014-04-17 |
| 1285065573 | Brian Townsend | Specialist/Technologist | 254 Western Ave, South Portland, ME 04106-2410 | 2013-12-11 |
| 1215234174 | Central Maine Partners In Health, LLC | Point of Service | 254 Western Ave, South Portland, ME 04106-2410 | 2011-02-11 |
| 1811010309 | Corey and Then Pa | Dentist | 254 Western Ave, South Portland, ME 04106-2410 | 2007-04-09 |
| 1760544522 | Margaret Derose Braga | Counselor | 254 Western Ave, South Portland, ME 04106-2410 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891777215 | Gregory A Taggart | Orthopaedic Surgery | 10 Wellspring Road, Biddeford, ME 04005 | 2005-11-20 |
| 1427057611 | Dirk G. Asherman | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2005-07-19 |
| 1275976474 | Robert Benton Lewis IIi | Orthopaedic Surgery | 430 Bath Rd, Brunswick, ME 04011-2637 | 2013-04-08 |
| 1740559236 | Ali Abbasian Hersini | Orthopaedic Surgery | 195 Fore River Pkwy, Suite 210, Portland, ME 04102-2780 | 2011-12-29 |
| 1437440278 | Jessica Ann Faught | Orthopaedic Surgery | 195 Fore River Pkwy, Suire 210, Portland, ME 04102-2780 | 2011-04-27 |
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on PORTLAND ORTHOPAEDIC FOOT AND ANKLE CENTER.
| 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.