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).
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 |
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 |
Street Address |
324 GANNETT DR STE 200 |
City | SOUTH PORTLAND |
State | ME |
Zip Code | 04106-3266 |
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 |
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 | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | SOUTH PORTLAND |
Zip Code | 04106 |
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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.