Michael Charles Kumin (NPI# 1184795205, PAC ID# 1759456650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1184795205 |
PAC ID by PECOS | 1759456650 |
Professional Enrollment ID | I20080812000296 |
Full Name | Michael Charles Kumin |
Organization Legal Name | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
Address |
31 Colcord St South Berwick ME 03908-1004 |
Phone Number | 2073844949 |
Gender | M |
Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
Graduation Year | 2005 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 5496749848 |
Number of Group Practice Members | 233 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
300018 | WENTWORTH-DOUGLASS HOSPITAL |
200020 | YORK HOSPITAL |
300014 | FRISBIE MEMORIAL HOSPITAL |
200019 | SOUTHERN MAINE HEALTH CARE |
300029 | PORTSMOUTH REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
8 Century Pines Dr, Suite 2, Barrington, NH 03825-3732 | 6036642135 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
10 Members Way, 200 Prompt Care, Dover, NH 03820-5933 | 6036096930 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
31 Colcord St, South Berwick, ME 03908-1004 | 2073844949 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
Organization Legal Name | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
Physicians | 206 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa Mcgann | Obstetrics/gynecology | Wentworth Douglass Physician Corporation | 789 Central Ave, Dover, NH 03820-2526 |
Kathleen White | Nurse Practitioner | Wentworth Douglass Physician Corporation | 10 Members Way 5th Floor, Whp Internal Medicine, Dover, NH 03820-5933 |
Deborah A Learson | Family Medicine | Wentworth Douglass Physician Corporation | 60 Exeter Rd Unit, 3 Great Bay Family Practice, Newmarket, NH 03857-1906 |
Melissa J Iudice | Clinical Social Worker | Wentworth Douglass Physician Corporation | 15 Old Rollinsford Rd, Suite 302, Dover, NH 03820-2819 |
Christopher D Lawson | Interventional Cardiology | Wentworth Douglass Physician Corporation | 801 Central Ave, Level1, Dover, NH 03820-2529 |
Ritoban Sen | Vascular Surgery | Wentworth Douglass Physician Corporation | 19 Old Rollinsford Rd, Bldg B, Dover, NH 03820-2807 |
Wilhelmina D Cabalona | Hematology/oncology | Wentworth Douglass Physician Corporation | 121 Corporate Dr, Suite 200, Portsmouth, NH 03801-6825 |
Jennifer M Stout | Clinical Social Worker | Wentworth Douglass Physician Corporation | 798 Central Ave, Dover, NH 03820-2520 |
Khosro Farhad | Neurology | Wentworth Douglass Physician Corporation | 67 Corporate Dr, Portsmouth, NH 03801-2847 |
Abigail Trnovsky | Clinical Social Worker | Wentworth Douglass Physician Corporation | 65 Calef Hwy, Suite 200, Lee, NH 03861-6703 |
Street Address |
31 COLCORD ST |
City | SOUTH BERWICK |
State | ME |
Zip | 03908-1004 |
Name | Specialty | Organization | Address |
---|---|---|---|
Chiedza G Jokonya | Family Medicine | Wentworth Douglass Physician Corporation | 31 Colcord St, South Berwick, ME 03908-1004 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rita Pomerleau | Nurse Practitioner | York Hospital | 57 Portland St, 2a Great Works Family Practice Associates of York Hospi, South Berwick, ME 03908-1203 |
Christine N Munroe | Internal Medicine | York Hospital | 57 Portland St, South Berwick, ME 03908-1203 |
Anna M Pilzer | Nurse Practitioner | York Hospital | 57 Portland St, 2a Great Works Family Practice Associates of York Hospi, South Berwick, ME 03908-1203 |
Jennifer M Cutts | Diagnostic Radiology | York Hospital | 57 Portland St, South Berwick, ME 03908-1203 |
Jeffrey A Eaton | Nurse Practitioner | York Hospital | 57 Portland St, South Berwick, ME 03908-1203 |
David Yarian | Family Medicine | York Hospital | 57 Portland St, South Berwick, ME 03908-1203 |
Seth C Laflamme | Chiropractic | 249 Main St, South Berwick, ME 03908-1543 | |
Briana Merritt Duga | Chiropractic | Great Works Chiropractic and Wellness, Pa | 249 Main St, South Berwick, ME 03908-1543 |
Bette J Freedson | Clinical Social Worker | 88 Old S Rd, South Berwick, ME 03908-1708 |
City | SOUTH BERWICK |
Zip Code | 03908 |
Specialty | FAMILY MEDICINE |
City + Specialty | SOUTH BERWICK + FAMILY MEDICINE |
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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.