Kurt Ebrahim (NPI# 1386615201, PAC ID# 9537064878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1386615201 |
| PAC ID by PECOS | 9537064878 |
| Professional Enrollment ID | I20050523001109 |
| Full Name | Kurt Ebrahim |
| Organization Legal Name | MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA |
| Address |
2 Independence Dr Kennebunk ME 04043-6078 |
| Phone Number | 2079850008 |
| Gender | M |
| Credential | MD |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 0840195186 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200008 | MERCY HOSPITAL |
| 200019 | SOUTHERN MAINE HEALTH CARE |
| 200009 | MAINE MEDICAL CENTER |
| 200020 | YORK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Independence Dr, Kennebunk, ME 04043-6078 | 2079850008 | MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA |
| 144 State St, Portland, ME 04101-3776 | 2078793190 | MERCY HOSPITAL |
| 40 Park Rd, Westbrook, ME 04092-3188 | 2078578174 | MERCY HOSPITAL |
| Organization Legal Name | MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eleni Nicole Nackos | Hematology/oncology | Maine Center for Cancer Medicine and Blood Disorders Pa | 100 Campus Dr, Unit 108, Scarborough, ME 04074-7172 |
| Summer D Mowry | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 51 Us Route 1, Suite I, Scarborough, ME 04074-7145 |
| Mark A Wrona | Internal Medicine | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Danielle F Bowen | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Jamie Lee Theriault | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 100 Campus Dr, Unit 108, Scarborough, ME 04074-7172 |
| Jamie E. Mckenzie | Hematology/oncology | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Angela M Reed | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 100 Campus Dr, Unit 108, Scarborough, ME 04074-7172 |
| Julie Baither | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 100 Campus Dr, Unit 108, Scarborough, ME 04074-7172 |
| Dixie L Knoll | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Andrea Berry | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 51 Us Route 1, Suite I, Scarborough, ME 04074-7145 |
| Street Address |
2 INDEPENDENCE DR |
| City | KENNEBUNK |
| State | ME |
| Zip | 04043-6078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Wrona | Internal Medicine | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Danielle F Bowen | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Rachel L Velardi | Nurse Practitioner | York Hospital | 2 Independence Dr, Suite B, Kennebunk, ME 04043-6078 |
| Jamie E. Mckenzie | Hematology/oncology | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Dixie L Knoll | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Melanie Cogan | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Helen F Ryan | Hematology/oncology | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Amanda E Magnoli | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Can Ilyas | Hematology/oncology | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Arlene Circe Damon | Nurse Practitioner | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime B Fairfield | Physician Assistant | Maine Center for Cancer Medicine and Blood Disorders Pa | 2 Independence Dr, Kennebunk, ME 04043-6078 |
| Richard S Stockwell | Colorectal Surgery (proctology) | 24 A W Cole Rd, Maine Proctology Center, Kennebunk, ME 04043-6124 | |
| Christina Marie Schicker | Physical Therapy | Coastal Rehab, LLC | 1 Huntington Common Dr, Kennebunk, ME 04043-6558 |
| Lindsey Goodrich | Qualified Speech Language Pathologist | Coastal Rehab, LLC | 1 Huntington Common Dr, Kennebunk, ME 04043-6558 |
| Hilary E Sivik | Physical Therapy | Coastal Rehab, LLC | 1 Huntington Common Dr, Kennebunk, ME 04043-6558 |
| Donald R Burgess | Pediatric Medicine | Mainehealth | 3 Shape Dr, Kennebunk, ME 04043-6601 |
| Miriam Wolfenstein | Psychologist, Clinical | 62 Portland Rd, Suite 42, Kennebunk, ME 04043-6650 | |
| Lisa Marie Macdonald | Clinical Social Worker | 62 Portland Rd, Suite 42, Kennebunk, ME 04043-6650 | |
| John J Romprey Jr. | Clinical Social Worker | 62 Portland Rd, Suite 6, Kennebunk, ME 04043-6650 | |
| Jody A Jansen | Clinical Social Worker | 62 Portland Rd, Suite 6, Kennebunk, ME 04043-6650 | |
| Find all physicians in zip 04043 | |||
| City | KENNEBUNK |
| Zip Code | 04043 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | KENNEBUNK + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Kurt Ebrahim.
| 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.