Maria O Ikossi (NPI# 1922184613, PAC ID# 8426090051) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1922184613 |
| PAC ID by PECOS | 8426090051 |
| Professional Enrollment ID | I20050524001200 |
| Full Name | Maria O Ikossi |
| Organization Legal Name | ST MARYS REGIONAL MEDICAL CENTER |
| Address |
93 Campus Ave Lewiston ME 04240-6030 |
| Gender | F |
| Credential | MD |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | THORACIC SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 0042107120 |
| Number of Group Practice Members | 188 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200034 | ST MARYS REGIONAL MEDICAL CENTER |
| 201315 | STEPHENS MEMORIAL HOSPITAL |
| 200037 | FRANKLIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 93 Campus Ave, Lewiston, ME 04240-6030 | ST MARYS REGIONAL MEDICAL CENTER | |
| 99 Campus Ave, Lewiston, ME 04240-6045 | ST MARYS REGIONAL MEDICAL CENTER |
| Organization Legal Name | ST MARYS REGIONAL MEDICAL CENTER |
| Physicians | 193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinna M Campbell | Nurse Practitioner | St Marys Regional Medical Center | 791 Turner St, Unit 2, Auburn, ME 04210-6314 |
| Colleen M Shula | Nurse Practitioner | St Marys Regional Medical Center | 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 |
| Erica J Richards | Certified Nurse Midwife (cnm) | St Marys Regional Medical Center | 330 Sabattus St, Lewiston, ME 04240-5553 |
| Jordan A Albair | Nurse Practitioner | St Marys Regional Medical Center | 1230 Maine St, Poland, ME 04274-7325 |
| Nan Boucher | Nurse Practitioner | St Marys Regional Medical Center | 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 |
| Gregory C Pomeroy | Orthopedic Surgery | St Marys Regional Medical Center | 117 Auburn St, Portland, ME 04103-6003 |
| Stephan O Bamberger | Physical Medicine and Rehabilitation | St Marys Regional Medical Center | 15 Gracelawn Rd, Auburn, ME 04210-6334 |
| Paul E Raczynski | Internal Medicine | St Marys Regional Medical Center | 3 Willow Run, Auburn, ME 04210-8501 |
| Jeffrey S Michaud | Family Medicine | St Marys Regional Medical Center | 15 Mollison Way, Lewiston, ME 04240-5805 |
| Mary C Fahrenbach | Interventional Cardiology | St Marys Regional Medical Center | 93 Campus Ave, Suite G025, Lewiston, ME 04240-6030 |
| Street Address |
93 CAMPUS AVE |
| City | LEWISTON |
| State | ME |
| Zip | 04240-6030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keshav Teelucksingh | Hospitalist | Sound Physicians of Massachusetts Inc | 93 Campus Ave, Lewiston, ME 04240-6030 |
| Mary C Fahrenbach | Interventional Cardiology | St Marys Regional Medical Center | 93 Campus Ave, Suite G025, Lewiston, ME 04240-6030 |
| Peter H Bagley | Pulmonary Disease | St Marys Regional Medical Center | 93 Campus Ave, Suite G025, Lewiston, ME 04240-6030 |
| Christopher T Bowe | Emergency Medicine | St Marys Regional Medical Center | 93 Campus Ave, Lewiston, ME 04240-6030 |
| Liga Yusvirazi | Hospitalist | Sound Physicians of Massachusetts Inc | 93 Campus Ave, Lewiston, ME 04240-6030 |
| Mylan C Cohen | Cardiovascular Disease (cardiology) | St Marys Regional Medical Center | 93 Campus Ave, Lewiston, ME 04240-6030 |
| William D Collins | Emergency Medicine | St Marys Regional Medical Center | 93 Campus Ave, Lewiston, ME 04240-6030 |
| Kimberly Wells | Psychiatry | St Marys Regional Medical Center | 93 Campus Ave, Lewiston, ME 04240-6030 |
| Sufana A Alkhunaizi | Internal Medicine | Sound Physicians of Massachusetts Inc | 93 Campus Ave, Lewiston, ME 04240-6030 |
| Paul W Sweeney | Cardiovascular Disease (cardiology) | St Marys Regional Medical Center | 93 Campus Ave, Lewiston, ME 04240-6030 |
| 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 | THORACIC SURGERY |
| City + Specialty | LEWISTON + THORACIC SURGERY |
Please comment or provide details below to improve the information on Maria O Ikossi.
| 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.