MANCHESTER INTERVENTIONAL SPINE, LLC (NPI# 1952671356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952671356 |
| Entity Type | Organization |
| Organization Name | MANCHESTER INTERVENTIONAL SPINE, LLC |
| Practice Address |
27 Bowdoin St Manchester ME 04351-3554 |
| Practice Telephone | 2072134340 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-05-22 |
| Authorized Official Name | DOUGLAS J JORGENSEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2076224500 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
27 BOWDOIN ST |
| City | MANCHESTER |
| State | ME |
| Zip Code | 04351-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1740563428 | Insight-premier Health LLC | Clinic/Center | 27 Bowdoin Street, Manchester, ME 04351 | 2011-09-20 |
| 1427353069 | Robin Page Dufour | Physical Therapist | 6 Rockwood Dr, Suite 2, Manchester, ME 04351 | 2011-01-12 |
| 1174839708 | Richard Ofoe Kavi | Pharmacist | 943 Western Ave, Manchester, ME 04351 | 2010-08-20 |
| 1700199031 | Neil A Graves | Pharmacist | 943 Western Ave., Manchester, ME 04351 | 2010-07-15 |
| 1427212059 | Dustin R Sulak | Family Medicine | 964 Western Ave., Manchester, ME 04351 | 2008-07-14 |
| 1437312295 | Crossroads Counseling Center Pllc | Social Worker | 726 Western Ave., Manchester, ME 04351 | 2008-07-02 |
| 1548453616 | Christopher Paul Beaudoin | Social Worker | 15 Range Way Suite 3, Manchester, ME 04351 | 2007-08-22 |
| 1275724288 | Shawn Kenneth Hodgdon | Social Worker | 726 Western Avenue, Manchester, ME 04351 | 2007-08-05 |
| 1790900512 | Scott A Hayward | Social Worker | 15 Range Way, Suite 3, Manchester, ME 04351 | 2007-04-16 |
| Find all providers in zip 04351 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902112626 | Anna Sarno Ryan, M.d, P.C. | Clinic/Center | 1650 Elm St, Suite 101, Manchester, NH 03101-1217 | 2010-08-19 |
| 1033389960 | Thompson Clinic, LLC | Clinic/Center | 209 Broad St, Pob 448, Manchester, GA 31816-2112 | 2008-03-06 |
| 1801970439 | Christian Cardiology Internal Medicine | Clinic/Center | 113 Main St, Manchester, KY 40962-1258 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508346750 | Precision Health Family Functional Medicine, Pa, LLC | Clinic/Center | 10 Plaza Dr Ste 203, Scarborough, ME 04074-1801 | 2018-08-17 |
| 1619234317 | Derek Libby Do | Clinic/Center | 97a Exchange St Ste 201, Portland, ME 04101-5016 | 2012-04-19 |
| 1881184190 | Riverside Healing Center | Clinic/Center | 92 Commercial St, Bath, ME 04530-2582 | 2018-05-11 |
| 1336638659 | Allan J Bogdan Md Pa | Clinic/Center | 34 Old County Rd, Rockport, ME 04856-4004 | 2018-05-02 |
| 1174035810 | Dr Lewandowskis Infinity Hearing LLC | Clinic/Center | 453 Us Route 1, Kittery, ME 03904-5513 | 2017-11-03 |
| 1841672094 | Maine Thoracic Surgery, LLC | Clinic/Center | 21 Northbrook Dr # B, Falmouth, ME 04105-1379 | 2015-06-24 |
| 1841688942 | Western Avenue Day Surgery Center | Clinic/Center | 244 Western Ave, South Portland, ME 04106-2430 | 2014-12-26 |
| 1881967297 | Tms Centers of Maine | Clinic/Center | 837 Broadway, South Portland, ME 04106-2708 | 2012-02-15 |
| 1740573906 | Iannetta Manipulation LLC | Clinic/Center | 632 Us Route 1, Scarborough, ME 04074-9794 | 2011-05-20 |
| 1881851517 | Bayside Neurorehabilitation Services | Clinic/Center | 26 Portland St, Portland, ME 04101-2912 | 2008-05-20 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 04351 |
Please comment or provide details below to improve the information on MANCHESTER INTERVENTIONAL SPINE, LLC.
| 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.