Timothy P Canham (NPI# 1780789057, PAC ID# 6709870041) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1780789057 |
| PAC ID by PECOS | 6709870041 |
| Professional Enrollment ID | I20040412000270 |
| Full Name | Timothy P Canham |
| Organization Legal Name | CONVENIENTMD LLC |
| Address |
950 Main St Westbrook ME 04092-3067 |
| Phone Number | 2075173800 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1990 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2062667033 |
| Number of Group Practice Members | 132 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201312 | WALDO COUNTY GENERAL HOSPITAL |
| 200037 | FRANKLIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 543 Broadway, Bangor, ME 04401-3337 | 2079221300 | CONVENIENTMD LLC |
| 22 Bramhall St, Portland, ME 04102-3134 | MAINEHEALTH | |
| 950 Main St, Westbrook, ME 04092-3067 | 2075173800 | CONVENIENTMD LLC |
| Organization Legal Name | CONVENIENTMD LLC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura P Farris | Nurse Practitioner | Convenientmd LLC | 950 Main St, Westbrook, ME 04092-3067 |
| Emma H Dono | Physician Assistant | Convenientmd LLC | 2 Dobson Way, Merrimack, NH 03054-4340 |
| Natalie Perez | Physician Assistant | Convenientmd LLC | 29 Storey Ave, Newburyport, MA 01950-1843 |
| Kathleen Q Morgan | Physician Assistant | Convenientmd LLC | 125 Indian Rock Rd, Windham, NH 03087-2008 |
| Shannon R Mccormick | Physician Assistant | Convenientmd LLC | 236 Cochituate Rd, Framingham, MA 01701-4627 |
| Philip J Voss | Emergency Medicine | Convenientmd LLC | 125 Indian Rock Rd, Windham, NH 03087-2008 |
| Angela G Demien | Physician Assistant | Convenientmd LLC | 125 Indian Rock Rd, Windham, NH 03087-2008 |
| Donna M Horan | Nurse Practitioner | Convenientmd LLC | 125 Indian Rock Rd, Windham, NH 03087-2008 |
| Heidi J Tzizik | Nurse Practitioner | Convenientmd LLC | 125 Indian Rock Rd, Windham, NH 03087-2008 |
| Sarah R Gargus | Physician Assistant | Convenientmd LLC | 125 Indian Rock Rd, Windham, NH 03087-2008 |
| Street Address |
950 MAIN ST |
| City | WESTBROOK |
| State | ME |
| Zip | 04092-3067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura P Farris | Nurse Practitioner | Convenientmd LLC | 950 Main St, Westbrook, ME 04092-3067 |
| Jodi Ann Newcombe | Family Medicine | Convenientmd LLC | 950 Main St, Westbrook, ME 04092-3067 |
| Halie N Harris | Physician Assistant | Convenientmd LLC | 950 Main St, Westbrook, ME 04092-3067 |
| Benjamin Paul Hagopian | Family Medicine | Convenientmd LLC | 950 Main St, Westbrook, ME 04092-3067 |
| Lauryn Frost | Nurse Practitioner | Convenientmd LLC | 950 Main St, Westbrook, ME 04092-3067 |
| Gerald S Hussar | Physician Assistant | Convenientmd LLC | 950 Main St, Westbrook, ME 04092-3067 |
| Kathleen D Moneghan | Physician Assistant | Convenientmd LLC | 950 Main St, Westbrook, ME 04092-3067 |
| Ashley N Moody | Nurse Practitioner | Convenientmd LLC | 950 Main St, Westbrook, ME 04092-3067 |
| Donna M Hempel | Physician Assistant | Convenientmd LLC | 950 Main St, Westbrook, ME 04092-3067 |
| Thomas Allen | Family Medicine | 950 Main St, Suite A, Wartburg, TN 37887-4309 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Echo Dixon | Clinical Social Worker | 19 Lucille St, Westbrook, ME 04092-2710 | |
| Vicki L Gayton | Clinical Social Worker | 836 Main St, Westbrook, ME 04092-2861 | |
| Julie Holden | Clinical Social Worker | 836 Main St, Westbrook, ME 04092-2861 | |
| Christopher Neault | Physical Therapy | Saco Bay Orthopaedic and Sports Physical Therapy Inc | 869 Main St, Westbrook, ME 04092-2867 |
| Ryan B Cyr | Physical Therapy | Saco Bay Orthopaedic and Sports Physical Therapy Inc | 869 Main St, Westbrook, ME 04092-2867 |
| Michelle Frazier | Physical Therapy | Saco Bay Orthopaedic and Sports Physical Therapy Inc | 869 Main St, Westbrook, ME 04092-2867 |
| Ashley R Foley | Physical Therapy | Saco Bay Orthopaedic and Sports Physical Therapy Inc | 869 Main St, Westbrook, ME 04092-2867 |
| Erica N Green | Clinical Social Worker | 825 Main St, Suite 4, Westbrook, ME 04092-2873 | |
| Linford J Stillson | Internal Medicine | 825 Main St, Suite 1, Westbrook, ME 04092-2873 | |
| Benedetto J Nappi | Psychologist, Clinical | 825 Main St, Suite 4, Westbrook, ME 04092-2873 | |
| Find all physicians in zip 04092 | |||
| City | WESTBROOK |
| Zip Code | 04092 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WESTBROOK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Timothy P Canham.
| 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.