FREDERICK A VAN MOURIK (NPI# 1932188323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932188323 |
| Entity Type | Individual |
| Full Name | FREDERICK A VAN MOURIK |
| Practice Address |
116 Shaker Rd Gray Gray ME 04039-9629 |
| Practice Telephone | 2076573308 |
| Practice Fax Number | 2076573309 |
| Mailing Telephone | 2076573308 |
| Mailing Fax Number | 2076573309 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2008-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12383 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 000203013 | 05 |
| Street Address |
116 SHAKER RD GRAY |
| City | GRAY |
| State | ME |
| Zip Code | 04039-9629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710066410 | Manju Hilary | Family Medicine | 116 Shaker Rd, Gray, ME 04039-9679 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1164871331 | Andrea Farrar | Nurse Anesthetist, Certified Registered | 716 Steven's Ave, Portland, ME 04039 | 2016-06-08 |
| 1508246687 | Benjamin Lawlor | Dentist | 31 Portland Rd, Gray, ME 04039 | 2015-06-04 |
| 1669864922 | Tabitha Leadbetter | Massage Therapist | 6 Main Street, Ste 6, Gray, ME 04039 | 2015-02-24 |
| 1326355033 | Jennifer Mccullum | Speech-Language Pathologist | 14 Shaker Road, Gray, ME 04039 | 2010-09-02 |
| 1891018149 | Kristen Curley | Mechanotherapist | 1 Gray Center, Suite# 6, Gray, ME 04039 | 2010-03-01 |
| 1528398104 | Beata Anna Wiktor | Psychologist | 6 Maine Street, Suite 1, Gray, ME 04039 | 2010-01-05 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1740329473 | Chris Jerome Dombrowski | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039 | 2007-02-06 |
| Find all providers in zip 04039 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629556196 | Kara Marie Hill | Family Medicine | 108 Furches Dr Apt 2, Gray, TN 37615-2860 | 2018-08-06 |
| 1730541749 | Benjamin Slocum | Family Medicine | 126 Shaker Rd, Gray, ME 04039-9629 | 2016-03-28 |
| 1154569952 | Genesis Family Healthcare Pllc | Family Medicine | 2244 Boones Creek Rd, Gray, TN 37615-4432 | 2009-02-02 |
| 1588822050 | Elizabeth Brezina Palmer | Family Medicine | 2103 Forest Dr, Suite 5, Gray, TN 37615-8422 | 2008-05-30 |
| 1154363745 | Coliseum Health Group LLC | Family Medicine | 110 Stone Brooke Dr, Gray, GA 31032-5865 | 2006-06-11 |
| 1487603742 | Rebekah J Cote | Family Medicine | 132 Old Gray Station Rd, Gray, TN 37615-3434 | 2006-05-06 |
| 1194710293 | Linda S Arnold | Family Medicine | 260 W Clinton St, Gray, GA 31032-5430 | 2005-09-14 |
| 1548263064 | Wyatt Kenny Blake | Family Medicine | 1005 Boulder Dr, Gray, GA 31032 | 2005-05-30 |
| 1376720698 | Gray Family Health LLC | Family Medicine | 110 Stone Brooke Dr, Gray, GA 31032-5865 | 2008-01-29 |
| 1457496234 | Melissa D Primrose-ringfield | Family Medicine | 1005 Boulder Dr, Gray, GA 31032-6141 | 2007-02-20 |
| Find all providers in GRAY | ||||
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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.