MICHELE L ROCK


Address: 1577 Congress St, 2nd Floor, Portland, ME 04102-2169
Phone: 2076621622

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NH 30227312 05
ME 433909099 05

Other Providers MICHELE ROCK

NPI Name Taxonomy Address Enumeration
1710358973 Michele Rock Dietetic Technician, Registered 2265 Como Ave, Saint Paul, MN 55108-1737 2015-10-14

Office Location

Street Address 1577 CONGRESS ST
2ND FLOOR
City PORTLAND
State ME
Zip Code 04102-2169

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PORTLAND
Zip Code 04102

Improve Information

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Dataset Information

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.

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