HEATHER M GILLESPIE (NPI# 1861561581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861561581 |
| Entity Type | Individual |
| Full Name | HEATHER M GILLESPIE |
| Credential | MD |
| Practice Address |
119 Gannett Dr South Portland ME 04106-6942 |
| Mailing Address |
190 Riverside St Suite 6b Portland ME 04103-1073 |
| Practice Telephone | 2077730040 |
| Mailing Telephone | 2076612000 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD20452 | ME | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
A100878 | CA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A100878 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A1008780 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144779604 | Heather Marie Gillespie | Nurse Practitioner | 859 N Main St, Malta, OH 43758-9007 | 2016-09-26 |
| 1245610781 | Heather Gillespie | Physical Therapist | 107 Swift St, Refugio, TX 78377-2425 | 2015-05-30 |
| 1346380748 | Heather Joan Gillespie | Internal Medicine | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2007-02-07 |
| Street Address |
119 GANNETT DR |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-6942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205836749 | Maine Cardiology Associates | Radiology | 119 Gannett Dr, South Portland, ME 04106-6942 | 2005-07-27 |
| 1316588221 | Alison M Davis | Physical Therapist | 119 Gannett Dr, South Portland, ME 04106-6942 | 2019-10-02 |
| 1366909103 | Amanda Kathryn Keene | Physician Assistant | 119 Gannett Dr, South Portland, ME 04106-6942 | 2019-02-28 |
| 1013431576 | Natalie Alison Hunt | Specialist/Technologist | 119 Gannett Dr, South Portland, ME 04106-6942 | 2017-07-26 |
| 1245788108 | Tyler Kimbar | Specialist/Technologist | 119 Gannett Dr, South Portland, ME 04106-6942 | 2016-09-20 |
| 1063969061 | Nicholas Angelo Lasarso | Physical Therapist | 119 Gannett Dr, South Portland, ME 04106-6942 | 2016-09-07 |
| 1962850321 | Erin Hatch | Psychologist | 119 Gannett Dr, South Portland, ME 04106-6942 | 2016-05-26 |
| 1952774051 | Erin E. Hatch, Psy.d. | Psychologist | 119 Gannett Dr, South Portland, ME 04106-6942 | 2015-11-11 |
| 1902291446 | Heidi Walls | Student in an Organized Health Care Education/Training Program | 119 Gannett Dr, South Portland, ME 04106-6942 | 2015-04-01 |
| 1114202561 | Maine Cardiology Associates | Internal Medicine | 119 Gannett Dr, South Portland, ME 04106-6942 | 2011-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245450832 | Krystian W Bigosinski | Family Medicine | 100 Brickhill Avenue, Suite 303, South Portland, ME 04106 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841326022 | Kenneth Robert Mckenzie | Family Medicine | 47 Unity Rd, Albion, ME 04910-6151 | 2007-02-24 |
| 1396739520 | William W Dexter | Family Medicine | 272 Congress St, Portland, ME 04102 | 2005-09-02 |
| 1104289990 | Stefanie Lauren Lewis | Family Medicine | 6 E Chestnut St, Augusta, ME 04330-5758 | 2016-03-30 |
| 1508278904 | James Alex | Family Medicine | 22 Bramhall St, Portland, ME 04102-3134 | 2014-05-20 |
| 1407266778 | Mary Iaculli | Family Medicine | 331 Veranda St, Portland, ME 04103-5545 | 2014-05-07 |
| 1114213667 | Alison Savage Lee | Family Medicine | 33 Sewall St, Portland, ME 04102-2603 | 2011-06-23 |
| 1407176175 | Robert B Stevens | Family Medicine | 35 Medical Center Pkwy, Augusta, ME 04330 | 2010-06-04 |
| 1083824106 | Cameron Lee Trubey | Family Medicine | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-05-24 |
| 1336264316 | John P Colianni | Family Medicine | 331 Veranda St, Portland, ME 04103-5545 | 2007-03-20 |
| 1083782916 | Elizabeth E Rothe | Family Medicine | 77 Bates St, Suite 201, Lewiston, ME 04240-7637 | 2006-11-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
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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.