Kenneth P Flanigan Iii (NPI# 1780659722, PAC ID# 8325015423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1780659722 |
| PAC ID by PECOS | 8325015423 |
| Professional Enrollment ID | I20050907000443 |
| Full Name | Kenneth P Flanigan Iii |
| Organization Legal Name | PORTLAND FOOT AND ANKLE, PA |
| Address |
68 Marginal Way Portland ME 04101-2444 |
| Phone Number | 2078791339106 |
| Gender | M |
| Credential | DPM |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2264409366 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200009 | MAINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 68 Marginal Way, Portland, ME 04101-2444 | 2078791339106 | PORTLAND FOOT AND ANKLE, PA |
| Organization Legal Name | PORTLAND FOOT AND ANKLE, PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry White | Podiatry | Portland Foot and Ankle, Pa | 68 Marginal Way, Portland, ME 04101-2444 |
| Kenneth R Maisak | Podiatry | Portland Foot and Ankle, Pa | 68 Marginal Way, Portland, ME 04101-2444 |
| Robert S Juris | Podiatry | Portland Foot and Ankle, Pa | 68 Marginal Way, Portland, ME 04101-2444 |
| Street Address |
68 MARGINAL WAY |
| City | PORTLAND |
| State | ME |
| Zip | 04101-2444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry White | Podiatry | Portland Foot and Ankle, Pa | 68 Marginal Way, Portland, ME 04101-2444 |
| Kenneth R Maisak | Podiatry | Portland Foot and Ankle, Pa | 68 Marginal Way, Portland, ME 04101-2444 |
| Robert S Juris | Podiatry | Portland Foot and Ankle, Pa | 68 Marginal Way, Portland, ME 04101-2444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Couch Kelly | Clinical Social Worker | Spurwink Services Incorporated | Portland Help Ctr, 477 Congress St 4th Fl, Portland, ME 04101 |
| Leslie Abrons | Clinical Social Worker | 609 Forest Ave, Portland, ME 04101-1515 | |
| Beth E Eilers | Clinical Social Worker | 609 Forest Ave, Portland, ME 04101-1515 | |
| Catharine Payson | Clinical Social Worker | 585 Forest Ave, Suite 1, Portland, ME 04101-1519 | |
| Kathy Karpeles | Psychologist, Clinical | 651 Forest Ave, Portland, ME 04101-1525 | |
| Joanne T Roy | Clinical Social Worker | Catholic Charities Maine | 11 Baxter Blvd, Portland, ME 04101-1801 |
| John J Padavano | Orthopedic Surgery | Orthopedic Center of New England Pa | 55 Baxter Blvd, Portland, ME 04101-1801 |
| Katie L Vine | Clinical Social Worker | Catholic Charities Maine | 11 Baxter Blvd, Portland, ME 04101-1801 |
| Katelyn Bennett | Physical Therapy | Maine Medical Partners | 43 Baxter Blvd, Portland, ME 04101-1823 |
| Paul R Albert | Physical Therapy | Maine Medical Partners | 43 Baxter Blvd, Portland, ME 04101-1823 |
| Find all physicians in zip 04101 | |||
| City | PORTLAND |
| Zip Code | 04101 |
| Specialty | PODIATRY |
| City + Specialty | PORTLAND + PODIATRY |
Please comment or provide details below to improve the information on Kenneth P Flanigan Iii.
| 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.