MIDCOAST MEDICINE & WELLNESS, PC (NPI# 1811373731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811373731 |
| Entity Type | Organization |
| Organization Name | MIDCOAST MEDICINE & WELLNESS, PC |
| Practice Address |
5 Mountain St Camden ME 04843-1614 |
| Practice Telephone | 2072362169 |
| Practice Fax Number | 2072300413 |
| Mailing Telephone | 2072362169 |
| Mailing Fax Number | 2072300413 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | DR. SUSAN HAGE (PHYSICIAN) |
| Authorized Official Telephone | 2072362169 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5 MOUNTAIN ST |
| City | CAMDEN |
| State | ME |
| Zip Code | 04843-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386751972 | Mary Ashmore | Neuromusculoskeletal Medicine & OMM | 5 Mountain St, Camden, ME 04843-1614 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740633148 | Judith Orme | Social Worker | 69 Elm St., #203, Camden, ME 04843 | 2016-07-20 |
| 1497912208 | Amber Elizabeth Blanchard | Occupational Therapy Assistant | 105 Mechanic Street, Camden, ME 04843 | 2008-05-20 |
| 1083810097 | Louise P Bakley | Speech-Language Pathologist | 69 Elm Street, Camden, ME 04843 | 2007-06-26 |
| 1679787527 | School Administrative District No 28 | Local Education Agency (LEA) | 7 Lions Lane, Camden, ME 04843 | 2007-05-10 |
| 1649346925 | Suetta Tenney | Internal Medicine | Genesis Health Care Winward Gardens Nursing Center, 105 Mechanic Street, Camden, ME 04843 | 2006-11-28 |
| 1235221854 | Kathleen A Dishner | Nurse Practitioner | 62 Bayview St Unit 23, Camden, ME 04843 | 2006-09-29 |
| 1417990896 | Carlton Douglas Johnstone | Chiropractor | 49 Elm St, Camden, ME 04843 | 2006-06-14 |
| 1720048044 | Marsha Leslie Domench | Physical Therapist | 22 Park Street, Camden, ME 04843 | 2006-03-23 |
| 1619968682 | Jennifer Marie Batterman | Psychologist | 87 Elm St Ste 203, Camden, ME 04843 | 2005-10-31 |
| 1629594155 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 35 Elm St, Camden, ME 04843 | 2017-08-16 |
| Find all providers in zip 04843 | ||||
| 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 |
|---|---|---|---|---|
| 1467095463 | Ouachita Physician Services, LLC | Family Medicine | 415 Hospital Dr Ste 4, Camden, AR 71701-4651 | 2019-10-22 |
| 1942658349 | Christina Ferrari | Family Medicine | 800 Cooper St # 4, Camden, NJ 08102-1155 | 2016-05-26 |
| 1528396710 | Benjamin Sommer | Family Medicine | 5 Masonic Ave, Camden, NY 13316-1234 | 2009-11-26 |
| 1043417496 | Bradley D Isbister | Family Medicine | 100 Plank Bridge Road, Camden, NC 27921 | 2007-06-29 |
| 1043436371 | Susan Gail Fesnak | Family Medicine | 2 Riverside Drive, 1 Port Center, Suite 401, Camden, NJ 08103-1018 | 2007-04-17 |
| 1093834574 | Rollin Wycoff Md | Family Medicine | 2285 Maul Rd, Camden, AR 71701-2511 | 2007-03-28 |
| 1861529430 | Patricia A. Prior | Family Medicine | 326 Penn St, Camden, NJ 08102-1410 | 2007-02-28 |
| 1144365115 | Albemarle Family Practice Pllc | Family Medicine | 160c Hwy 158, Camden, NC 27921-6908 | 2007-02-20 |
| 1811040603 | Center City Medical Associates Pa | Family Medicine | 506 Broadway, Camden, NJ 08103 | 2007-01-18 |
| 1689730343 | Henry Lawrence Morganstein | Family Medicine | 1809 Broadway, Camden, NJ 08104-1333 | 2006-12-28 |
| Find all providers in CAMDEN | ||||
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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.