MICHELE L ROCK (NPI# 1861424301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861424301 |
Entity Type | Individual |
Full Name | MICHELE L ROCK |
Other Name | MICHELE L ROCK |
Credential | DO |
Practice Address |
1577 Congress St 2nd Floor Portland ME 04102-2169 |
Mailing Address |
301 Us Route 1 Building C Scarborough ME 04074-9701 |
Practice Telephone | 2076621622 |
Practice Fax Number | 2077741814 |
Mailing Telephone | 2073968600 |
Mailing Fax Number | 2073968632 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2011-06-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 227777 | MA | Allopathic & Osteopathic Physicians |
Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
2060 | ME | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 30227312 | 05 | |
ME | 433909099 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710358973 | Michele Rock | Dietetic Technician, Registered | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2015-10-14 |
Street Address |
1577 CONGRESS ST 2ND FLOOR |
City | PORTLAND |
State | ME |
Zip Code | 04102-2169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386602290 | Melanie Lynne Leu | Family Medicine | 1577 Congress St, Portland, ME 04102 | 2006-05-02 |
1548730567 | Peds Coverage PC | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2018-12-03 |
1013328871 | Kassi Marie Swallow | Dietitian, Registered | 1577 Congress St, Portland, ME 04102-2169 | 2014-05-15 |
1457786485 | Cassie M Green | Psychologist | 1577 Congress St, Portland, ME 04102-2169 | 2013-09-10 |
1023454089 | Samantha Dunn | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2013-05-17 |
1942544580 | Erika Lynn North | Psychologist | 1577 Congress St, Portland, ME 04102-2169 | 2012-11-20 |
1215211487 | Johanna H. Anderson | Social Worker | 1577 Congress St, 1st Floor, Portland, ME 04102-2169 | 2011-10-05 |
1497075592 | Amy E Vincent-cross | Social Worker | 1577 Congress St, Portland, ME 04102 | 2010-06-11 |
1376777136 | Catherine S Curry | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2009-05-08 |
1376736579 | Amanda S Evans Powell | Social Worker | 1577 Congress St, 1st Floor, Portland, ME 04102-2169 | 2007-08-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
Find all providers in zip 04102 |
Taxonomy Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477616845 | Charlene Sabin | Pediatrics | 5441 Sw Macadam Ave Ste 200, Portland, OR 97239-3822 | 2006-12-18 |
1285604173 | Donna K Kirchoff | Pediatrics | 1675 Sw Marlow Ave, Ste 200, Portland, OR 97225-5104 | 2006-01-24 |
1023454089 | Samantha Dunn | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2013-05-17 |
1114116969 | Michele Raddish | Pediatrics | 830 Ne 47th Ave, Providence Neurodevelopmental Center for Children, Portland, OR 97213 | 2007-10-17 |
1457579914 | Gisela Porras Serna | Pediatrics | 2801 N Gantenbein Ave Ste 2225, Portland, OR 97227-1623 | 2007-04-23 |
1568680239 | Martine Richardson Sacks | Pediatrics | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2007-04-20 |
1598834533 | David W Willis | Pediatrics | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225-5104 | 2006-11-06 |
1184704363 | Kendra Higgins Farris | Pediatrics | 2801 N Gantenbein Ave, Pediatric Development & Rehabilitation Program, Portland, OR 97227-1623 | 2006-10-16 |
1124115936 | Mary Lynn O'brien | Pediatrics | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2006-10-05 |
1164517454 | James N Powell | Pediatrics | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2006-10-04 |
Find all providers in PORTLAND |
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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.