NORTHERN MAINE MEDICAL CENTER (NPI# 1750443842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750443842 |
| Entity Type | Organization |
| Organization Name | NORTHERN MAINE MEDICAL CENTER |
| Other Organization Name | NMMC MEDICAL OFFICE BUILDING |
| Practice Address |
197 E Main St Fort Kent ME 04743-1409 |
| Mailing Address |
194 E Main St Fort Kent ME 04743-1428 |
| Practice Telephone | 2078345877 |
| Practice Fax Number | 2078342522 |
| Mailing Telephone | 2078345877 |
| Mailing Fax Number | 2078342522 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2011-05-17 |
| Authorized Official Name | MR. PETER SIROIS (CEO) |
| Authorized Official Telephone | 2078341408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NMMC Medical Office Building | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417430 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 104 Main St, Madawaska, ME 04756 | 2005-12-10 |
| 1174519490 | Northern Maine Medical Center | Nursing Facility/Intermediate Care Facility | 25 Bolduc Ave, Fort Kent, ME 04743-1601 | 2005-09-22 |
| 1568465144 | Northern Maine Medical Center | General Acute Care Hospital | 194 East Main Street, Fort Kent, ME 04743-1428 | 2005-05-27 |
| 1851942429 | Northern Maine Medical Center | Pharmacy | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-09-25 |
| 1386147098 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756-1437 | 2018-03-09 |
| 1548785371 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756 | 2017-08-14 |
| 1891184172 | Northern Maine Medical Center | Medicare Defined Swing Bed Unit | 194 E Main St, Fort Kent, ME 04743-1428 | 2015-01-09 |
| 1790830503 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 194 E Main St, Fort Kent, ME 04743-1428 | 2007-01-24 |
| 1053345546 | Northern Maine Medical Center | Psychologist | 194 E Main St, Fort Kent, ME 04743-1428 | 2006-07-10 |
| 1962481077 | Northern Maine Medical Center | General Practice | 194 E Main St, Fort Kent, ME 04743 | 2006-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHERN MAINE MEDICAL CENTER | 194 E Main St, Fort Kent, ME 04743-1428 |
| Street Address |
197 E MAIN ST |
| City | FORT KENT |
| State | ME |
| Zip Code | 04743-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821496886 | Togus Vamc | Clinic/Center | 197 E Main St, Fort Kent, ME 04743-1409 | 2014-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483874 | Megan K Pelletier | Pharmacist | Address: 182 Market St Suite 2, Fort Kent, ME 04743 | 2020-09-30 |
| 1629344171 | Sherry Marie Stedt | Massage Therapist | 590 Caribou Rd, Fort Kent, ME 04743 | 2012-03-29 |
| 1215140181 | School Administrative District 27 | Student in an Organized Health Care Education/Training Program | 84 Pleasant Street, Suite 1, Fort Kent, ME 04743 | 2007-05-08 |
| 1578785846 | M.s.a.d.#27 | Student in an Organized Health Care Education/Training Program | 108 Pleasant Street, Fort Kent, ME 04743 | 2007-05-03 |
| 1598880122 | Kristy Jo Nadeau | Social Worker | 210 Market St., Fort Kent, ME 04743 | 2007-03-20 |
| 1619066297 | Paul W Tisher | Psychiatry & Neurology | 104 East Main Street, Fort Kent, ME 04743 | 2006-10-12 |
| 1326150467 | Paul Huges Mcbreairty | Obstetrics & Gynecology | 468 St John Rd, Fort Kent, ME 04743 | 2006-08-31 |
| 1356459739 | Louis J Paradis Inc | Pharmacy | 62 West Main Street, Suite 101, Fort Kent, ME 04743 | 2006-08-27 |
| 1023024585 | Richard Raymond | Dentist | 139 Market Street, Suite 107, Fort Kent, ME 04743 | 2006-08-01 |
| 1003898677 | Lisa M. Eno | Nurse Practitioner | 197 East Main Street, Suite 101, Fort Kent, ME 04743 | 2005-11-18 |
| Find all providers in zip 04743 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441774 | Alexandre Gennadievich Andrianov | Internal Medicine | 194 E Main St, Fort Kent, ME 04743-1428 | 2005-10-19 |
| 1366739930 | Liia Edouardovna Doumanovskaia | Internal Medicine | 194 E Main St, Fort Kent, ME 04743-1428 | 2011-07-05 |
| 1316936644 | James Vincent Harris | Internal Medicine | 194 E Main St, Fort Kent, ME 04743-9977 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255982856 | Bene Esse, Inc. | Internal Medicine | 28 W Cole Rd Ste 105, Biddeford, ME 04005-9428 | 2019-09-25 |
| 1316426893 | Stephanie Lynne Bosse | Internal Medicine | 33 Whiting Hill Rd Ste 300, Brewer, ME 04412-1021 | 2018-08-07 |
| 1942798707 | Ibis Health Services-maine LLC | Internal Medicine | 140 Main St Ste 3, Freeport, ME 04032-1348 | 2018-04-27 |
| 1629598941 | Sunam M Sujanani | Internal Medicine | 489 State Street Kelley 6, Bangor, ME 04401 | 2017-06-27 |
| 1265889265 | Jared Tobolski | Internal Medicine | 22 Bramhall St Dept Of, Portland, ME 04102-3175 | 2016-05-19 |
| 1154775070 | Katherine M Rizzolo | Internal Medicine | 245 Broadway Apt 206, South Portland, ME 04106-2942 | 2016-04-18 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1851761936 | Arthur Smith | Internal Medicine | 63 Parker Ridge Ln, Apt. 314, Blue Hill, ME 04614-6129 | 2015-10-01 |
| 1134516701 | Anne Longtine | Internal Medicine | 65 Waterville St, Portland, ME 04101 | 2015-04-22 |
| 1982033569 | Maine Laser Skin Care, P.a. | Internal Medicine | 12 Shuman Ave Ste 7, Augusta, ME 04330-6020 | 2013-11-05 |
| Find all providers with the same taxonomy | ||||
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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.