Kevin J Shanaghan (NPI# 1750318283, PAC ID# 3173513678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750318283 |
| PAC ID by PECOS | 3173513678 |
| Professional Enrollment ID | I20180105001260 |
| Full Name | Kevin J Shanaghan |
| Organization Legal Name | MAINEHEALTH |
| Address |
79 Schooner St Suite 1 Damariscotta ME 04543-4051 |
| Phone Number | 2079217770 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517860588 |
| Number of Group Practice Members | 1115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201302 | LINCOLNHEALTH |
| 200063 | PENOBSCOT BAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 | 2079217770 | MAINEHEALTH |
| 592 W Main St, Lmp Family Medicine Waldoboro, Waldoboro, ME 04572-6030 | 2078326394 | 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 |
79 SCHOONER ST SUITE 1 |
| City | DAMARISCOTTA |
| State | ME |
| Zip | 04543-4051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Williams | Nurse Practitioner | Mainehealth | 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 |
| Alexander Brazalovich | Family Medicine | Mainehealth | 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 |
| John M Dickens | Family Medicine | Mainehealth | 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 |
| Julie A Delory | Nurse Practitioner | Mainehealth | 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 |
| Greeshma Reddy | Internal Medicine | Mainehealth | 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 |
| Katelyn A Bolduc | Nurse Practitioner | Mainehealth | 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 |
| Linda Brouwer | Nurse Practitioner | Mainehealth | 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary W Auslander | Clinical Social Worker | 10 Bristol Rd, Damariscotta, ME 04543-4000 | |
| Michael F Giglia | Chiropractic | Damariscotta Chiropractic | 54 Bristol Rd, Damariscotta, ME 04543-4000 |
| Susan Giglia | Chiropractic | Damariscotta Chiropractic | 54 Bristol Rd, Damariscotta, ME 04543-4000 |
| Stacey J Rees | Certified Nurse Midwife | Lincolnhealth | 35 Miles St, Damariscotta, ME 04543-4047 |
| Monika E. Gulyas | Certified Nurse Midwife | Lincolnhealth | 35 Miles St, Damariscotta, ME 04543-4047 |
| Robert T Howard | Obstetrics/gynecology | Lincolnhealth | 35 Miles St, Damariscotta, ME 04543-4047 |
| Bridget G Buck | Certified Nurse Midwife | Lincolnhealth | 35 Miles St, Damariscotta, ME 04543-4047 |
| Wendy S Nichols | Certified Registered Nurse Anesthetist | Lincolnhealth | 35 Miles St, Damariscotta, ME 04543-4047 |
| Catharine M Cadigan | Internal Medicine | Lincolnhealth | 35 Miles St, Damariscotta, ME 04543-4047 |
| Robert C Jorden | Emergency Medicine | Lincolnhealth | 35 Miles St, Damariscotta, ME 04543-4047 |
| Find all physicians in zip 04543 | |||
| City | DAMARISCOTTA |
| Zip Code | 04543 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DAMARISCOTTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kevin J Shanaghan.
| 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.