Edward B Yoon (NPI# 1073539466, PAC ID# 0345261848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1073539466 |
| PAC ID by PECOS | 0345261848 |
| Professional Enrollment ID | I20150908001825 |
| Full Name | Edward B Yoon |
| Organization Legal Name | SOUTHERN MAINE HEALTH CARE |
| Address |
13 Industrial Park Rd Saco ME 04072-1804 |
| Phone Number | 2072838800 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0143208348 |
| Number of Group Practice Members | 237 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200019 | SOUTHERN MAINE HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 13 Industrial Park Rd, Saco, ME 04072-1804 | 2072838800 | SOUTHERN MAINE HEALTH CARE |
| Organization Legal Name | SOUTHERN MAINE HEALTH CARE |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia W Blankenship | Clinical Social Worker | Southern Maine Health Care | 1 Medical Ctr Dr, Biddeford, ME 04005-9422 |
| Mark H Rolerson | Family Practice | Southern Maine Health Care | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Arnold L Klipstein | Gastroenterology | Southern Maine Health Care | 1 Medical Ctr Dr, Biddeford, ME 04005-9422 |
| Melissa J Lefebvre | Nurse Practitioner | Southern Maine Health Care | 1 Medical Ctr Dr, Biddeford, ME 04005-9422 |
| Nancy M Blanchard | Clinical Social Worker | Southern Maine Health Care | 1 Medical Ctr Dr, Biddeford, ME 04005-9422 |
| Meredith A Myers | Nurse Practitioner | Southern Maine Health Care | 1 Medical Ctr Dr, Biddeford, ME 04005-9422 |
| Cynthia K Bolles | Physician Assistant | Southern Maine Health Care | 1 Medical Ctr Dr, Biddeford, ME 04005-9422 |
| Rebecca E Kowaloff | Internal Medicine | Southern Maine Health Care | 1 Medical Ctr Dr, Biddeford, ME 04005-9422 |
| Tammi Bittler | Obstetrics/gynecology | Southern Maine Health Care | 1 Medical Ctr Dr, Biddeford, ME 04005-9422 |
| Cynthia Patraitis | Pediatric Medicine | Southern Maine Health Care | 1 Medical Ctr Dr, Biddeford, ME 04005-9422 |
| Street Address |
13 INDUSTRIAL PARK RD |
| City | SACO |
| State | ME |
| Zip | 04072-1804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kailee O D'angelo | Nurse Practitioner | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Bradley S Smith | Physician Assistant | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Pamela W Travis | Nurse Practitioner | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Rachael B Pillar | Nurse Practitioner | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Monique A Spina | Clinical Social Worker | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Matthew D Stevens | Family Medicine | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Mark H Rolerson | Family Practice | Southern Maine Health Care | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Reiche | Chiropractic | 331 N St, Unit 102, Saco, ME 04072 | |
| Juliann Kandra | Optometry | 323 Main St, Saco, ME 04072-1514 | |
| Benjamin C Tyau | Physician Assistant | Convenientmd LLC | 506 Main St, Saco, ME 04072-1530 |
| Michaela B Whitney | Clinical Social Worker | Sweetser | 50 Moody St, Saco, ME 04072-1536 |
| Kathleen E Wilson | Clinical Social Worker | Sweetser | 50 Moody St, Saco, ME 04072-1536 |
| Elise Scala | Nurse Practitioner | University of New England | 655 Main St, Saco, ME 04072-1543 |
| Catherine Sinclair | Nurse Practitioner | University of New England | 655 Main St, Saco, ME 04072-1543 |
| John Kazilionis | Family Medicine | University of New England | 655 Main St, Saco, ME 04072-1543 |
| Rita Kamra Paquin | Family Medicine | University of New England | 655 Main St, Saco, ME 04072-1543 |
| Elizabeth C Berry | Physician Assistant | Mainehealth | 655 Main St, Saco, ME 04072-1543 |
| Find all physicians in zip 04072 | |||
| City | SACO |
| Zip Code | 04072 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SACO + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.