SAMUEL BERGMAN (NPI# 1801892484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801892484 |
| Entity Type | Individual |
| Full Name | SAMUEL BERGMAN |
| Credential | M.D. |
| Practice Address |
95 Settlers Dr Hancock ME 04640-3510 |
| Practice Telephone | 2072813805 |
| Practice Fax Number | 2074223748 |
| Mailing Telephone | 2072813805 |
| Mailing Fax Number | 2074223748 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2015-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 6856 | NH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 042-0006246 | VT | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 016344 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MEDICARE | ME0857 | 01 |
| RAILROAD MEDICARE NUMBER | 1801892484 | 01 |
| Street Address |
95 SETTLERS DR |
| City | HANCOCK |
| State | ME |
| Zip Code | 04640-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316149537 | Mary Brennan | Physical Therapist | 56 Harborview Dr, Hancock, ME 04640 | 2007-06-01 |
| 1639270606 | Lisa Mae Jones | Physical Therapist | 44 B&b Drive, Hancock, ME 04640-0169 | 2006-09-25 |
| 1750316543 | Douglas C Kimmel | Psychologist | 13 Captain Bill Road, Tamarack Place Suite 2, Hancock, ME 04640-0466 | 2006-07-11 |
| 1477608545 | Seven Angels LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 E Side Rd, Hancock, ME 04640-3906 | 2007-01-25 |
| 1184845190 | Susanne E Forest | Counselor | 170 E Side Rd, Hancock, ME 04640-3917 | 2007-05-01 |
| 1184853442 | Dorothy Fogg | In Home Supportive Care | 206 Eastside Rd, Hancock, ME 04640-3919 | 2009-07-08 |
| 1083915417 | Open Arms Senior Living LLC | Respite Care | 31 Dannys Way, Hancock, ME 04640-3961 | 2010-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423161 | Nicole Ubinger | Social Worker | 1233 Anthony St, Hancock, MI 49930-1004 | 2020-09-23 |
| 1821644253 | Craig Wesley Hatcher | Pharmacist | 343 N. Pennsylvania Ave., Hancock, MD 21750 | 2019-08-12 |
| 1679047278 | Margiejo D Packham | Registered Nurse | 109 W Memorial Dr, Hancock, MI 49931 | 2019-01-16 |
| 1437627643 | Karen Byrnes | Registered Nurse | Hancock Va Cboc, 787 Market St. Suite 9, Hancock, MI 49930 | 2018-11-06 |
| 1669968731 | Erin Jeanine Carter | Health Educator | 1500 Birch St, Hancock, MI 49930-1052 | 2018-07-02 |
| 1891284618 | Kneetix Mobile Pain Therapy | Clinic/Center | 2732 Roods Creek Rd Bldg 27, Hancock, NY 13783-1861 | 2018-05-07 |
| 1366949455 | Nathan Larson | Preventive Medicine | 601 Quincy St., Athletics / Paavo Nurmi Gym, Hancock, MI 49930-4993 | 2018-04-06 |
| 1821596768 | Renee Elizabeth O'neill | Advanced Practice Midwife | 506 Campus Dr, Hancock, MI 49930-1569 | 2018-01-25 |
| 1710406707 | Guardian Flight LLC | Ambulance | 1212 E Atlantic St, Hancock, MI 49930-1415 | 2017-09-12 |
| 1881117562 | Angelica Monique Nunez | Specialist/Technologist | 601 Quincy St, Hancock, MI 49930 | 2017-07-25 |
| Find all providers in HANCOCK | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821128968 | Portage Health Inc. | Family Medicine | 500 Campus Dr, Hancock, MI 49930-1569 | 2007-03-07 |
| 1609904432 | James Doyle Helsley | Family Medicine | 109 Rayloc Dr, Hancock, MD 21750-1518 | 2007-03-01 |
| 1467501692 | War Memorial Hospital, Inc. | Family Medicine | 351 N Pennsylvania Ave, Hancock, MD 21750 | 2007-01-09 |
| 1336176437 | Gina Maria Louis-mercier | Family Medicine | 787 Market St Ste 9, Hancock, MI 49930-1163 | 2006-06-26 |
| 1861431173 | Matthew Abner Hahn | Family Medicine | 131 N Pennsylvania Ave, Hancock, MD 21750-1135 | 2006-06-05 |
| 1497105431 | Sarah Pettibone | Family Medicine | 500 Campus Dr, Hancock, MI 49930-1452 | 2016-06-21 |
| 1417396375 | River Bend Family Medicine LLC | Family Medicine | 131 N Pennsylvania Ave, Hancock, MD 21750-1135 | 2013-06-24 |
| 1790071256 | Michelle Leeann Seguin | Family Medicine | 500 Campus Dr, Hancock, MI 49930-1452 | 2011-06-23 |
| 1164720835 | War Memorial Hospital, Inc. | Family Medicine | 2 Tonoloway St, Hancock, MD 21750-1310 | 2011-03-04 |
| 1518296615 | Liza Dawn Hiles | Family Medicine | 130 W High St, Hancock, MD 21750-1199 | 2009-12-18 |
| Find all providers in HANCOCK | ||||
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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.