Elizabeth Susan Mariah Desjardin (NPI# 1275829699, PAC ID# 2264668912) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1275829699 |
| PAC ID by PECOS | 2264668912 |
| Professional Enrollment ID | I20170912001525 |
| Full Name | Elizabeth Susan Mariah Desjardin |
| Organization Legal Name | MAINEHEALTH |
| Address |
100 Campus Dr Suite 110 Scarborough ME 04074-7172 |
| Phone Number | 2073967678 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2011 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7517860588 |
| Number of Group Practice Members | 1115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200009 | MAINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 887 Congress St, Suite 200, Portland, ME 04102-3166 | 2077715549 | MAINEHEALTH |
| 887 Congress St, Suite 210, Portland, ME 04102-3166 | 2077742544 | MAINE MEDICAL PARTNERS |
| 100 Campus Dr, Suite 110, Scarborough, ME 04074-7172 | 2073967678 | MAINEHEALTH |
| Organization Legal Name | MAINEHEALTH |
| Physicians | 929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Williams | Nurse Practitioner | Mainehealth | 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 |
| Leslie W Bray | Nurse Practitioner | Mainehealth | 2399 Atlantic Hwy, Lincolnville, ME 04849-5322 |
| Kathryn E Hassett | Clinical Social Worker | Mainehealth | 48 Gilman St, Portland, ME 04102-3004 |
| Robert A Toscano | Psychiatry | Mainehealth | 165 Lancaster St, Portland, ME 04101-2406 |
| Robert E Grondahl | Obstetrics/gynecology | Mainehealth | 16 Fahy St, Suite 108, Belfast, ME 04915-6029 |
| Kailee O D'angelo | Nurse Practitioner | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Deena M Ryan | Nurse Practitioner | Mainehealth | 2 Livewell Dr, Kennebunk, ME 04043-6762 |
| Christian M Basque | Sports Medicine | Mainehealth | 46 Barra Rd, Biddeford, ME 04005-9461 |
| Peter Rubin | Hematology/oncology | Mainehealth | 26 W Cole Rd, 102 Smhc Cancer Care and Blood Disorders, Biddeford, ME 04005-9407 |
| James P Lepich | Nurse Practitioner | Mainehealth | 193 Main St, Norway, ME 04268-5645 |
| Street Address |
100 CAMPUS DR SUITE 110 |
| City | SCARBOROUGH |
| State | ME |
| Zip | 04074-7172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eleni Nicole Nackos | Hematology/oncology | Maine Center for Cancer Medicine and Blood Disorders Pa | 100 Campus Dr, Unit 108, Scarborough, ME 04074-7172 |
| Jamie Lee Theriault | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 100 Campus Dr, Unit 108, Scarborough, ME 04074-7172 |
| Nadav Lelkes | Hematology/oncology | Maine Medical Partners | 100 Campus Dr, Suite 107, Scarborough, ME 04074-8737 |
| Karen L Frarie | Clinical Social Worker | Greater Seacoast Community Health | 100 Campus Dr, Suite 12, Portsmouth, NH 03801-5892 |
| Kasra Djalayer | Family Medicine | Greater Seacoast Community Health | 100 Campus Dr, Suite 12, Portsmouth, NH 03801-5892 |
| Marjorie E Beams | Family Medicine | Greater Seacoast Community Health | 100 Campus Dr, Suite 12, Portsmouth, NH 03801-5892 |
| Angela M Reed | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 100 Campus Dr, Unit 108, Scarborough, ME 04074-7172 |
| Julie Baither | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 100 Campus Dr, Unit 108, Scarborough, ME 04074-7172 |
| Elizabeth I Harrison | Nurse Practitioner | Greater Seacoast Community Health | 100 Campus Dr, Suite 12, Portsmouth, NH 03801-5892 |
| Kevin B Zent | Family Medicine | Greater Seacoast Community Health | 100 Campus Dr, Suite 12, Portsmouth, NH 03801-5892 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill M Amundson | Optometry | Mobile Eye Care of Maine, LLC | 290 Us Route 1, Maine Veterans Home, Scarborough, ME 04074 |
| Joshua J Iannetta | Osteopathic Manipulative Medicine | Iannetta Osteopathic Manipulation, 632 Us Route 1, Scarborough, ME 04074 | |
| June C Destefano Tait | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
| Robert D Sansonetti | Obstetrics/gynecology | 144 Us Route One, Scarborough, ME 04074 | |
| Frank A Gentile | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
| Sarah L Elia | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
| Susan Ramsey | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
| Susan S Thompson-brown | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
| P Gretchen French | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
| Sara H Merrill | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
| Find all physicians in zip 04074 | |||
| City | SCARBOROUGH |
| Zip Code | 04074 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SCARBOROUGH + GENERAL SURGERY |
Please comment or provide details below to improve the information on Elizabeth Susan Mariah Desjardin.
| 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.