AMY B BOSINSKE (NPI# 1831166693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831166693 |
| Entity Type | Individual |
| Full Name | AMY B BOSINSKE |
| Credential | PA C |
| Practice Address |
81 Medical Center Drive Suite 2350 Brunswick ME 04011 |
| Mailing Address |
81 Medical Center Dr Suite 2350 Brunswick ME 04011-2764 |
| Practice Telephone | 2073736690 |
| Practice Fax Number | 2073736695 |
| Mailing Telephone | 2073736690 |
| Mailing Fax Number | 2073736695 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2015-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA745 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | P88047 | 01 | |
| HARVARD PILGRIM GROUP | 010424957 | 01 | |
| TRICARE | 010424957 | 01 | |
| MEDICARE RAILROAD GROUP | 250012128 | 01 | |
| BCBS GROUP | P0061 | 01 | |
| AETNA GROUP | 010424957 | 01 | |
| CHAMPUS | 010424957 | 01 | |
| STANDARD TAX ID | 010424957 | 01 | |
| EMPLOY STANDARDS | 010424957 | 01 |
| Street Address |
81 MEDICAL CENTER DRIVE SUITE 2350 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609847524 | Thomas J. Keating | Internal Medicine | 81 Medical Center Drive, Suite 1300, Brunswick, ME 04011 | 2006-01-30 |
| 1114991148 | Susan C Trafton | Physician Assistant | 81 Medical Center Drive, Suite 1300, Brunswick, ME 04011 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1518225358 | Timothy Paul Katoski | Physician Assistant | 135 Wood Crest Cir, Brunswick, GA 31525-6887 | 2012-04-30 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1376617167 | Maureen Kilrain | Physician Assistant | 3059 Grafton Rd, Brunswick, OH 44212 | 2006-11-20 |
| 1811077696 | Karen Anne Marlin | Physician Assistant | Dudley Coe Health Center Bowdoin College, 3600 College Station, Brunswick, ME 04011 | 2006-10-16 |
| 1093782856 | Ismael S Osta | Physician Assistant | 3226 Hampton Ave, Suite G, Brunswick, GA 31520-4225 | 2006-03-01 |
| 1275504771 | Alta Anesthesia Associates of Georgia, PC | Physician Assistant | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2006-02-01 |
| 1770124026 | Calysta Lane Medley | Physician Assistant | 600 Coastal Village Dr, Brunswick, GA 31520-1973 | 2019-10-07 |
| 1619525995 | Rachel Putnam | Physician Assistant | 14 Maine St # 44, Brunswick, ME 04011-2049 | 2019-08-29 |
| 1043871494 | Erin Ferguson | Physician Assistant | 3025 Shrine Rd Ste 390, Brunswick, GA 31520-4786 | 2019-06-26 |
| Find all providers in BRUNSWICK | ||||
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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.