Douglas G Ertman (NPI# 1043253636, PAC ID# 4587567326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043253636 |
| PAC ID by PECOS | 4587567326 |
| Professional Enrollment ID | I20040129000739 |
| Full Name | Douglas G Ertman |
| Organization Legal Name | CENTRAL MAINE MEDICAL CENTER |
| Address |
300 Main St Lewiston ME 04240-7027 |
| Phone Number | 2077950111 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2567379563 |
| Number of Group Practice Members | 257 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200008 | MERCY HOSPITAL |
| 200024 | CENTRAL MAINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 19 S Gorham Xing, Gorham, ME 04038-2690 | 2075351400 | MERCY HOSPITAL |
| 300 Main St, Lewiston, ME 04240-7027 | 2077950111 | CENTRAL MAINE MEDICAL CENTER |
| 76 High St, Fl 1, Lewiston, ME 04240-7649 | 2077952800 | CENTRAL MAINE MEDICAL CENTER |
| 40 Park Rd, Westbrook, ME 04092-3188 | 2078578174 | MERCY HOSPITAL |
| 409 Roosevelt Trl, Windham, ME 04062-4821 | 2074008600 | MERCY HOSPITAL |
| Organization Legal Name | CENTRAL MAINE MEDICAL CENTER |
| Physicians | 303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan M Barnathan | Family Medicine | Central Maine Medical Center | 76 High St, Fl 1, Lewiston, ME 04240-7649 |
| Laurie L Lambert | Nurse Practitioner | Central Maine Medical Center | 10 Minot Ave, Auburn, ME 04210-4900 |
| Justin D Pearlman | Cardiovascular Disease (cardiology) | Central Maine Medical Center | 105 Topsham Fair Mall Rd, Topsham, ME 04086-1773 |
| Kema Kasalaba | Nurse Practitioner | Central Maine Medical Center | 789 Minot Ave, Auburn, ME 04210-3924 |
| Amy Ouellette | Nurse Practitioner | Central Maine Medical Center | 190 Stetson Rd, Auburn, ME 04210-7813 |
| Carleen R Knight | Nurse Practitioner | Central Maine Medical Center | 4 Horton Pl, Topsham, ME 04086-1748 |
| Liia Doumanovskaia | Internal Medicine | Central Maine Medical Center | 12 High St, Suite 400, Lewiston, ME 04240-7690 |
| Liana B Kelly | Nurse Practitioner | Central Maine Medical Center | 287 Main St, Suite 301, Lewiston, ME 04240-7055 |
| Angela L Wood | Certified Registered Nurse Anesthetist (crna) | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Gisele M Castonguay | Nurse Practitioner | Central Maine Medical Center | 60 High St, Lewiston, ME 04240-7616 |
| Street Address |
300 MAIN ST |
| City | LEWISTON |
| State | ME |
| Zip | 04240-7027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela L Wood | Certified Registered Nurse Anesthetist (crna) | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Jerrold T Gale | Diagnostic Radiology | X-ray Professional Association | 300 Main St, Lewiston, ME 04240-7027 |
| Glenda M Kribel | Certified Registered Nurse Anesthetist (crna) | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Pamela G Argereow | Nurse Practitioner | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| John J Harris | Diagnostic Radiology | X-ray Professional Association | 300 Main St, Lewiston, ME 04240-7027 |
| Tasha M Duval | Obstetrics/gynecology | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Charles R Gasser | Otolaryngology | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Carlene J Ianuzzi | Psychologist, Clinical | 300 Main St, Suite 5, Vestal, NY 13850-1545 | |
| Norris Lee | Otolaryngology | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Maylene I Peralta | Endocrinology | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard M Nadeau | Chiropractic | 1761 N Lisbon Rd, Suite 3, Lewiston, ME 04240-1411 | |
| Sheena N Marichal | Physical Therapy | Head To Toe Physical Therapy | 1977 Lisbon Rd, Lewiston, ME 04240-1415 |
| Glison Angela Smith | Physical Therapy | Head To Toe Physical Therapy | 1977 Lisbon Rd, Lewiston, ME 04240-1415 |
| Karen E Krzywda | Physical Therapy | Head To Toe Physical Therapy | 1977 Lisbon Rd, Lewiston, ME 04240-1415 |
| Rachel A Mcgarry | Registered Dietitian Or Nutrition Professional | Maine Medical Partners | 963 Sabattus St, Lewiston, ME 04240-3332 |
| Philip A Mclean | Chiropractic | 1485 Lisbon St, Lewiston, ME 04240-3522 | |
| Jason Eric Davis | Chiropractic | 16 Highland Spring Rd, Lewiston, ME 04240-3856 | |
| Bryce K Cropper | Qualified Audiologist | H.e.a.r., Inc., P.a. | 475 Pleasant St, Suite 11, Lewiston, ME 04240-3951 |
| Abagail B Forcier | Qualified Audiologist | H.e.a.r., Inc., P.a. | 475 Pleasant St, Suite 11, Lewiston, ME 04240-3951 |
| John E. Yeomans | Clinical Social Worker | 571 Sabattus St, Suite 11, Lewiston, ME 04240-4156 | |
| Find all physicians in zip 04240 | |||
| City | LEWISTON |
| Zip Code | 04240 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LEWISTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Douglas G Ertman.
| 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.