Diane M Kidric (NPI# 1740480938, PAC ID# 6901053644) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1740480938 |
| PAC ID by PECOS | 6901053644 |
| Professional Enrollment ID | I20140521001675 |
| Full Name | Diane M Kidric |
| Organization Legal Name | GREAT FALLS PATHOLOGY, P.A. |
| Address |
300 Main St Lewiston ME 04240-7027 |
| Phone Number | 2077957136 |
| Gender | F |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 3375586001 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200009 | MAINE MEDICAL CENTER |
| 301307 | MEMORIAL HOSPITAL, THE |
| 300005 | LAKES REGION GENERAL HOSPITAL |
| 201312 | WALDO COUNTY GENERAL HOSPITAL |
| 200037 | FRANKLIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5 Alumni Dr, Exeter, NH 03833-2128 | 6035807085 | SPECTRUM HEALTHCARE PARTNERS PA |
| 300 Main St, Lewiston, ME 04240-7027 | 2077957136 | GREAT FALLS PATHOLOGY, P.A. |
| 22 Bramhall St, Portland, ME 04102-3134 | 2076620111 | SPECTRUM HEALTHCARE PARTNERS PA |
| Organization Legal Name | GREAT FALLS PATHOLOGY, P.A. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna Puzanov | Pathology | Great Falls Pathology, P.a. | 10 Hospital Dr, Bridgton, ME 04009-1148 |
| William Lambie | Pathology | Great Falls Pathology, P.a. | 10 Hospital Dr, Bridgton, ME 04009-1148 |
| Predrag M Latkovich | Pathology | Great Falls Pathology, P.a. | 300 Main St, Lewiston, ME 04240-7027 |
| John W Skinner | Pathology | Great Falls Pathology, P.a. | 10 Hospital Dr, Bridgton, ME 04009-1148 |
| Moonkez Hakky | Pathology | Great Falls Pathology, P.a. | 300 Main St, Lewiston, ME 04240-7027 |
| 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 | PATHOLOGY |
| City + Specialty | LEWISTON + PATHOLOGY |
Please comment or provide details below to improve the information on Diane M Kidric.
| 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.