BRIGID A MULLALLY (NPI# 1730296740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730296740 |
| Entity Type | Individual |
| Full Name | BRIGID A MULLALLY |
| Credential | M.D. |
| Practice Address |
5 Caldwell Rd Augusta ME 04330-5739 |
| Practice Telephone | 2076231322 |
| Practice Fax Number | 2076233629 |
| Mailing Telephone | 2076231322 |
| Mailing Fax Number | 2076233629 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2012-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 017243 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 432337299 | 05 | |
| ME | TAX ID | 01 0404305 | 01 |
| ME | ANTHEM | 098243 | 01 |
| ME | AETNA | 1290858 | 01 |
| ME | CIGNA | 3539521 | 01 |
| ME | RAILROAD MEDICARE | P00375036 | 01 |
| Street Address |
5 CALDWELL RD |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-5739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487632675 | Kathleen B Petersen | Obstetrics & Gynecology | 5 Caldwell Rd, Augusta, ME 04330-5739 | 2006-01-06 |
| 1669961660 | Alicia B Burke | Counselor | 5 Caldwell Rd, Augusta, ME 04330-5739 | 2018-05-04 |
| 1386887008 | State of Maine | Community/Behavioral Health | 5 Caldwell Rd, Augusta, ME 04330-0011 | 2009-04-10 |
| 1689742520 | Danielle M. Salhany | Obstetrics & Gynecology | 5 Caldwell Rd, Kennebec Valley Ob/gyn, Augusta, ME 04330-5739 | 2006-11-30 |
| 1336166206 | Hishalah Zvulon | Obstetrics & Gynecology | 5 Caldwell Rd, Augusta, ME 04330-5739 | 2006-07-16 |
| 1831179811 | Julie A Cox | Advanced Practice Midwife | 5 Caldwell Rd, Augusta, ME 04330-5739 | 2006-01-18 |
| 1588642672 | Kathryn G. Booth | Nurse Practitioner | 5 Caldwell Rd, Augusta, ME 04330-5739 | 2006-01-09 |
| 1467430553 | Glenn D. Gianini | Obstetrics & Gynecology | 5 Caldwell Rd, Augusta, ME 04330-5739 | 2006-01-09 |
| 1982682191 | Kennebec Valley Obstetrics & Gynecology | Obstetrics & Gynecology | 5 Caldwell Rd, Augusta, ME 04330-5739 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| 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 |
|---|---|---|---|---|
| 1639794001 | Stephanie Stokes | Obstetrics & Gynecology | 1120 15th St Ste Ba-7300, Augusta, GA 30912-0004 | 2020-06-11 |
| 1346865839 | Teodora Stoikov | Obstetrics & Gynecology | 1120 15th St # Ba-7411, Augusta, GA 30912-0004 | 2020-06-10 |
| 1528627650 | Suellen Anizia Romero De Mello Sa | Obstetrics & Gynecology | 1120 15th St # Ba-7310, Augusta, GA 30912-0004 | 2019-06-12 |
| 1457910069 | Taylor Mitchell Jones | Obstetrics & Gynecology | 1120 15th St # Ba-7300, Augusta, GA 30912-3300 | 2019-06-07 |
| 1871156687 | Alexandra Poch | Obstetrics & Gynecology | 1120 15th St # Ba7300, Augusta, GA 30912-0004 | 2019-04-17 |
| 1568826493 | Susan Angeline Davis | Obstetrics & Gynecology | 2813 Hillcrest Ave, Augusta, GA 30909-3815 | 2016-04-06 |
| 1831553924 | Connor Jordan Biskamp | Obstetrics & Gynecology | Augusta University 1120 15th Street, Augusta, GA 30912-3901 | 2016-04-05 |
| 1922319094 | Obstetrics and Gynecology Services of Augusta PC | Obstetrics & Gynecology | 1500 Johns Road, Suite 3, Augusta, GA 30904-4808 | 2010-06-23 |
| 1962630830 | Linda Marie Street | Obstetrics & Gynecology | 3624 J Dewey Gray Cir Ste 308, Augusta, GA 30909-6580 | 2009-06-30 |
| 1689811036 | Peter Payne | Obstetrics & Gynecology | 2812 Walton Way, Augusta, GA 30909-3826 | 2009-01-07 |
| Find all providers in AUGUSTA | ||||
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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.