DAVID L ETTINGER (NPI# 1871532424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871532424 |
| Entity Type | Individual |
| Full Name | DAVID L ETTINGER |
| Credential | MD |
| Practice Address |
Penobscot Bay Medical Center Rockport ME 04856 |
| Mailing Address |
40 Bayberry Ln Camden ME 04843-4012 |
| Practice Telephone | 2075968333 |
| Mailing Telephone | 2072369029 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
12394 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225313695 | David Ettinger | Counselor | 2627ne203rd St 214, Aventura, FL 33180-1946 | 2011-10-18 |
| 1982625547 | David B. Ettinger | Dentist | 131 E Chestnut Hill Rd, Newark, DE 19713-4043 | 2006-07-21 |
| 1619976453 | David J Ettinger | Plastic Surgery | 3359 Kemp Rd, Ste. 200, Beavercreek, OH 45431-2565 | 2005-07-14 |
| 1598096018 | David Ettinger | Physician Assistant | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2010-01-22 |
| 1629262993 | David Jay Ettinger | Physical Therapist | 1716 Coney Island Ave, Brooklyn, NY 11230-5801 | 2007-08-30 |
| 1720016777 | David S Ettinger | Internal Medicine | 10755 Falls Rd, Lutherville, MD 21093-4515 | 2006-06-29 |
| Street Address |
PENOBSCOT BAY MEDICAL CENTER |
| City | ROCKPORT |
| State | ME |
| Zip Code | 04856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171585 | Lisa Manley | Physical Therapist | 6 Glen Cove Drive, Pbmc, Rockport, Me, ME 04856 | 2018-07-25 |
| 1871096834 | Brenda K Berry | Registered Nurse | 731 Commercial Street, Rockport, ME 04856 | 2018-03-15 |
| 1174908495 | Atlantic Behavior Services, Inc | Behavioral Analyst | 112 Union Street, Rockport, ME 04856 | 2015-07-28 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1790024438 | Michelle Gallant | Dental Hygienist | 37 Chickawaukie Pond Rd, Rockport, ME 04856 | 2013-01-31 |
| 1316221666 | Nancy K Alexander | Advanced Practice Midwife | 3 Glen Cove Dr Ste 1, Rockport, ME 04856 | 2011-10-05 |
| 1619283793 | Karen Canfield | Social Worker | 41 Forsest St, Rockport, ME 04856 | 2010-08-26 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1598999369 | Patricia L. Kristiansen | Occupational Therapy Assistant | 6 Madelyn Lane, Rockport, ME 04856 | 2009-05-08 |
| 1801020797 | Tiffany Ann Darge | Dental Hygienist | 1060 Commercial St., Rockport, ME 04856 | 2009-05-07 |
| Find all providers in zip 04856 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215040159 | Emergency Physician Services | Emergency Medicine | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598973489 | Peter Hulsey | Emergency Medicine | 489 State Street, Emergency Department, Bangor, ME 04401 | 2007-05-21 |
| 1194933879 | Lawrence Anthony Schlemann | Emergency Medicine | 15 Hospital Dr, York, ME 03909-1011 | 2007-05-18 |
| 1831314855 | Nathan G Donaldson | Emergency Medicine | 10 Wayman Ln, Bar Harbor, ME 04609-1625 | 2007-04-16 |
| 1073736930 | David G Millay | Emergency Medicine | 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 | 2007-04-10 |
| 1326050410 | Mark A Douglas | Emergency Medicine | 1 Medical Center Drive, Biddeford, ME 04005 | 2006-08-13 |
| 1033128855 | John H Simmons | Emergency Medicine | 181 Main St, Norway, ME 04268-5664 | 2006-08-08 |
| 1548283997 | Rebecca Chagrasulis | Emergency Medicine | 181 Main St, Norway, ME 04268-5664 | 2006-07-26 |
| 1043236904 | Sandra L Stevens | Emergency Medicine | 50 Foden Rd, Ste 3, South Portland, ME 04106-1718 | 2006-07-14 |
| 1073545141 | Russell D Florenz | Emergency Medicine | 181 Main St, Norway, ME 04268-5664 | 2006-07-07 |
| 1740223205 | Arthur Gregory Manning | Emergency Medicine | 50 Union St, Ellsworth, ME 04605-1534 | 2006-06-13 |
| Find all providers with the same taxonomy | ||||
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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.