MICHAEL CHRISTOPHER VERVILLE (NPI# 1770770349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770770349 |
| Entity Type | Individual |
| Full Name | MICHAEL CHRISTOPHER VERVILLE |
| Credential | PA-C |
| Practice Address |
10 High St Ste. 105 Lewiston ME 04240-7653 |
| Practice Telephone | 2077955710 |
| Practice Fax Number | 2077952559 |
| Mailing Telephone | 2077955710 |
| Mailing Fax Number | 2077952559 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2010-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA001196 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 435195399 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912962952 | Michael Normand Verville | Specialist/Technologist | Bates College, 130 Central Ave., Alumni Gymnasium, Lewiston, ME 04240 | 2006-04-20 |
| 1598750978 | Michael Verville | Nurse Anesthetist, Certified Registered | 216 Anamaria Dr, Rapid City, SD 57701-7366 | 2005-09-13 |
| Street Address |
10 HIGH ST STE. 105 |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265420590 | Lee G Kendall Jr. | Internal Medicine | 10 High St, Ste 204, Lewiston, ME 04240-7640 | 2005-10-11 |
| 1811387749 | Denise Gaudette | Dietitian, Registered | 10 High St, Lewiston, ME 04240-7653 | 2015-01-30 |
| 1912310442 | Christopher Charles Foote | Urology | 10 High St, Lewiston, ME 04240-7653 | 2014-06-02 |
| 1902159254 | Amanda Ettinger | Dietitian, Registered | 10 High St, Ste. 105, Lewiston, ME 04240-7653 | 2012-10-24 |
| 1417209560 | Jenna M. Madore | Dietitian, Registered | 10 High St, Suite 105, Lewiston, ME 04240-7653 | 2012-10-12 |
| 1144511528 | Sean D Stanhope | Internal Medicine | 10 High St, Suite 204, Lewiston, ME 04240-7653 | 2011-04-20 |
| 1366755928 | Lynn L Dumont | Nurse Practitioner | 10 High St, Ste. 301, Lewiston, ME 04240-7653 | 2010-07-23 |
| 1417260415 | Leslie Roehrig | Dietitian, Registered | 10 High St, Suite 105, Lewiston, ME 04240-7653 | 2010-07-19 |
| 1578889275 | Susan Kravetz | Dietitian, Registered | 10 High St, Ste 105, Lewiston, ME 04240-7653 | 2010-04-20 |
| 1366607384 | Ashley Edwards | Dietitian, Registered | 10 High St, Suite 105, Lewiston, ME 04240-7653 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1134773294 | Alyssa Mae Gunville | Physician Assistant | 12 High St Ste 401, Lewiston, ME 04240-7690 | 2019-07-27 |
| 1316590946 | Jonathan Mcdonough | Physician Assistant | 60 High St, Cmhvi Y1, Lewiston, ME 04240-7616 | 2019-07-23 |
| 1003380957 | Hannah Stonebreaker | Physician Assistant | 12 High St Ste 401, Lewiston, ME 04240-7690 | 2019-01-14 |
| 1750839023 | Rychael Morton | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2016-09-15 |
| 1679941553 | Kaden J Thueson | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2015-09-09 |
| 1396112918 | Kate Grygiel | Physician Assistant | 12 High St, Ste 401, Lewiston, ME 04240-7676 | 2015-08-31 |
| 1881091387 | Tiffany Eisenhauer | Physician Assistant | 60 High St, Lewiston, ME 04240-7616 | 2014-11-26 |
| 1083028674 | Gillian M Croteau | Physician Assistant | 12 High St, Suite 102, Lewiston, ME 04240-7676 | 2014-06-11 |
| 1245516723 | Kevin Taylor Quigley | Physician Assistant | 60 High St, Lewiston, ME 04240-7616 | 2011-10-27 |
| Find all providers in LEWISTON | ||||
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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.