JOHN TAYLOR BIELECKI (NPI# 1861515330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861515330 |
| Entity Type | Individual |
| Full Name | JOHN TAYLOR BIELECKI |
| Credential | MD, MPH |
| Practice Address |
30 Chase Ave Waterville ME 04901-4624 |
| Mailing Address |
39 Pinewood Dr Belgrade ME 04917-3500 |
| Practice Telephone | 2078724260 |
| Practice Fax Number | 2078724034 |
| Mailing Telephone | 2074952302 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
11495 | ME | Allopathic & Osteopathic Physicians |
| X | 202C00000X | Independent Medical Examiner | 11495 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922289529 | John L Bielecki IIi | Physical Therapist | 200 Luther Rd, Shrewsbury, PA 17361-1726 | 2007-11-25 |
| Street Address |
30 CHASE AVE |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648713 | Nicholas Jay Thompson | Specialist/Technologist | 30 Chase Ave, Waterville, ME 04901-4624 | 2005-09-01 |
| 1326465063 | Diane Weinstein | Social Worker | 30 Chase Ave, Waterville, ME 04901-4624 | 2014-03-19 |
| 1952737041 | Jill M Godfrey | Counselor | 30 Chase Ave, Waterville, ME 04901-4624 | 2013-09-20 |
| 1306272547 | Caroline W Feely | Social Worker | 30 Chase Ave, Waterville, ME 04901-4624 | 2013-09-19 |
| 1538469044 | Carmen Alvarado Bernhardt | Occupational Therapy Assistant | 30 Chase Ave, Waterville, ME 04901-4624 | 2010-10-31 |
| 1063743961 | Susan Lewis Cruz | Nurse Practitioner | 30 Chase Ave, Workplace Health, Waterville, ME 04901-4624 | 2010-01-18 |
| 1790921963 | James R Sisung II | Psychologist | 30 Chase Ave, Waterville, ME 04901-4624 | 2008-12-18 |
| 1063662351 | Mary Anne F Booth | Audiologist | 30 Chase Ave, Waterville, ME 04901-4624 | 2008-09-24 |
| 1831374750 | Meredyth Ann Sanborn | Speech-Language Pathologist | 30 Chase Ave, Waterville, ME 04901-4624 | 2008-01-09 |
| 1083834485 | Kathleen Ann Kelleher | Physical Therapist | 30 Chase Ave, Edmund Ervin Pediatric Center, Waterville, ME 04901-4624 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427121656 | Ricky Lee Snyder | Preventive Medicine | 175 Runnining Hill Road, South Portland, ME 04106 | 2006-11-16 |
| 1902103062 | Kenji Saito | Preventive Medicine | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2011-02-24 |
| 1649359951 | Jonathan Torres | Preventive Medicine | 77 Bates St, Lewiston, ME 04240-7637 | 2006-11-06 |
| City | WATERVILLE |
| Zip Code | 04901 |
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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.