DR. DIANE MARIE KIDRIC


Address: 324 Gannett Dr Ste 200, South Portland, ME 04106-3266
Phone: 2074827800

DR. DIANE MARIE KIDRIC (NPI# 1740480938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740480938
Entity Type Individual
Full Name DR. DIANE MARIE KIDRIC
Credential D.O., J.D.
Practice Address 324 Gannett Dr Ste 200
South Portland
ME 04106-3266
Practice Telephone 2074827800
Mailing Telephone 2074827861
Enumeration Date 2007-07-25
Last Update Date 2018-03-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
DO2424 ME Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
2012-00949 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 324 GANNETT DR STE 200
City SOUTH PORTLAND
State ME
Zip Code 04106-3266

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821002056 Michael P Goldfinger Radiology 324 Gannett Dr Ste 200, South Portland, ME 04106 2006-07-27
1043479470 Rebecca I, Kalman Anesthesiology 324 Gannett Dr Ste 200, South Portland, ME 04106 2008-06-02
1295924777 Susan Catherine Williams Neurological Surgery 324 Gannett Dr Ste 200, South Portland, ME 04106-3266 2007-10-19
1538231154 Kim B Ginevan Pathology 324 Gannett Dr Ste 200, South Portland, ME 04106-3266 2006-11-15

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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
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215091681 David Michael Gray Pathology 324 Gannett Dr, Ste 200, South Portland, ME 04106-3270 2006-12-20
1538231154 Kim B Ginevan Pathology 324 Gannett Dr Ste 200, South Portland, ME 04106-3266 2006-11-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750678462 Ninu Sharma Pathology 163 Van Buren Road, Cary Medical Center, Caribou, ME 04736-3588 2011-07-01
1912948050 Mark David Gusack Pathology 1 Center St, Augusta, ME 04330-6410 2006-06-09
1669870705 Dahl Chase Pathology Assoc. Pathology 417 State St, Suite 439, Bangor, ME 04401-6630 2014-12-05
1912304114 Spectrum Healthcare Partners, P.a. Pathology 489 State St, Bangor, ME 04401 2014-12-03
1801201967 Chelsey Marie Gracia Pathology 417 State St Ste 439, Bangor, ME 04401-6635 2014-06-27
1801213004 Ryan Matthew Paolino Pathology 22 Bramhall St, Portland, ME 04102-3134 2014-03-25
1891124079 Victoria Parker Pathology 22 Bramhall St, Portland, ME 04102-3134 2013-11-07
1235561887 Lindsay Williams Pathology 417 State St Ste 439, Bangor, ME 04401-6635 2013-08-06
1114241825 Emily Ek Meserve Pathology 22 Bramhall St, Portland, ME 04102-3134 2010-03-24
1124267307 Bilal R Ahmad Pathology 22 Bramhall St, Portland, ME 04102 2009-02-12
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Competitor

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City SOUTH PORTLAND
Zip Code 04106

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Dataset Information

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.

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