MAINE DERMATOLOGY, LLC (NPI# 1710061494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710061494 |
| Entity Type | Organization |
| Organization Name | MAINE DERMATOLOGY, LLC |
| Practice Address |
2239 Atlantic Hwy Lincolnville ME 04849-5310 |
| Practice Telephone | 2072301007 |
| Practice Fax Number | 2072301008 |
| Mailing Telephone | 2072301007 |
| Mailing Fax Number | 2072301008 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | CHARMAINE JENSEN (OWNER/ DOCTOR) |
| Authorized Official Telephone | 2072301007 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 1822 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
2239 ATLANTIC HWY |
| City | LINCOLNVILLE |
| State | ME |
| Zip Code | 04849-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215010889 | Charmaine B Jensen | Surgery | 2239 Atlantic Hwy, Lincolnville, ME 04849-5310 | 2006-10-24 |
| 1730367285 | Mark Jensen, Do, LLC | Psychiatry & Neurology | 2239 Atlantic Hwy, Lincolnville, ME 04849-5310 | 2008-02-07 |
| 1003990706 | Mark Jensen | Psychiatry & Neurology | 2239 Atlantic Hwy, Lincolnville, ME 04849-5310 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902098999 | Brad Raymond Olsen | Physical Therapist | 67 Atlantic Hwy, Northport, ME 04849 | 2007-08-14 |
| 1932316676 | Betty Ann Burns | Counselor | 25 Slab City Road, Lincolnville, ME 04849 | 2007-05-16 |
| 1467514448 | Deborah Janet Peabody | Family Medicine | 2399 Atlantic Highway, Lincolnville, ME 04849 | 2006-12-15 |
| 1295893022 | Catherine Wilson | Nurse Practitioner | 2399 Atlantic Hwy, Lincolnville, ME 04849 | 2006-12-05 |
| 1629168471 | Jill W. Betz | Chiropractor | 2195 Atlantic Hwy., Lincolnville, ME 04849 | 2006-10-13 |
| 1528389319 | Seablue Physical Therapy LLC | Clinic/Center | 67 Atlantic Hwy, Northport, ME 04849 | 2010-06-16 |
| 1073695169 | Eric A. Betz | Chiropractor | 2195 Atlantic Hwy., Lincolnville, ME 04849 | 2006-10-19 |
| 1609807221 | Michael C. Sloan | Dentist | 2561 Atlantic Highway, Lincollnville Beach, ME 04849-0050 | 2006-07-05 |
| 1225243082 | Michael C. Sloan, D.d.s. | Dentist | 2561 Atlantic Highway, Lincolnville Beach, ME 04849-0050 | 2007-05-14 |
| 1457322810 | William M Strassberg | Orthopaedic Surgery | 36 Sailors Blf, Northport, ME 04849-3063 | 2006-02-01 |
| Find all providers in zip 04849 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667191 | Morris S Minton Md Faad Pa | Dermatology | 87 Elm St Ste 104a, Camden, ME 04843-1963 | 2019-12-23 |
| 1235629742 | Robert W Haeberlein Jr Md Pa | Dermatology | 700 Mount Hope Ave Ste 601, Bangor, ME 04401-5674 | 2018-05-10 |
| 1598063679 | Yoon Cohen | Dermatology | 362 Us Route 1 Ste 5, Falmouth, ME 04105-1353 | 2011-03-14 |
| 1124250584 | Einar Axel Juhlin | Dermatology | 340 Eastern Promenade, Unit 154, Portland, ME 04101-2754 | 2009-08-19 |
| 1093921025 | Jennifer Woodbury Bragg | Dermatology | 50 Sewall Street, Portland, ME 04102 | 2007-05-15 |
| 1952438384 | Elizabeth V Seiverling | Dermatology | 265 Western Ave Ste 1, South Portland, ME 04106-2415 | 2007-02-27 |
| 1871639286 | Julia A Harre | Dermatology | 222 Auburn St Ste 205, Portland, ME 04103-6004 | 2007-01-30 |
| 1104919901 | Robert Wynne Haeberlein Jr. | Dermatology | 700 Mount Hope Avenue Suite 601, Bangor, ME 04401-5600 | 2006-10-02 |
| 1750472825 | Joel A Sabean | Dermatology | 350 Cottage Rd, South Portland, ME 04106 | 2006-09-27 |
| 1508831900 | Kathy A Bush | Dermatology | 100 Foden Road West, Suite 100, South Portland, ME 04106 | 2006-02-20 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLNVILLE |
| Zip Code | 04849 |
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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.