Swift River Family Medicine | |
430 Franklin St Rumford ME 04276-2104 | |
(207) 369-0146 | |
(207) 364-8626 |
Full Name | Swift River Family Medicine |
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Speciality | Clinic/Center |
Location | 430 Franklin St, Rumford, Maine |
Authorized Official Name and Position | John Kroger (DIVISION CHIEF) |
Authorized Official Contact | 2073690146 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Swift River Family Medicine 430 Franklin St Rumford ME 04276-2104 Ph: (207) 369-0146 | Swift River Family Medicine 430 Franklin St Rumford ME 04276-2104 Ph: (207) 369-0146 |
NPI Number | 1578599775 |
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Provider Enumeration Date | 06/23/2006 |
Last Update Date | 05/04/2012 |
Medicare PECOS PAC ID | 1557340460 |
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Medicare Enrollment ID | O20040715000176 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578599775 | NPI | - | NPPES |
000209013 | Other | ME | PRIMECARE NUMBER |
125700100 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 203989 (Maine) | Primary |
Provider Name | Catharine A Heffernan |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1508854647 PECOS PAC ID: 2668367889 Enrollment ID: I20040309000274 |
Provider Name | John E Kroger |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538131024 PECOS PAC ID: 0143216341 Enrollment ID: I20040422001384 |
Provider Name | Kristin Jhamb |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598771297 PECOS PAC ID: 6305820143 Enrollment ID: I20040617000904 |
Provider Name | Dmitry B Opolinsky |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255307922 PECOS PAC ID: 0941270151 Enrollment ID: I20040727000528 |
Provider Name | Kimberly A Struck |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578604997 PECOS PAC ID: 3072579457 Enrollment ID: I20041207001037 |
Provider Name | Jennifer L Weiner Smith |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1457331423 PECOS PAC ID: 3072555036 Enrollment ID: I20050531000897 |
Provider Name | Jacob Ledesma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497753271 PECOS PAC ID: 7113969114 Enrollment ID: I20050601000157 |
Provider Name | Dieter Kreckel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912979402 PECOS PAC ID: 6901842616 Enrollment ID: I20050705000394 |
Provider Name | Thomas J Deluca |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154326387 PECOS PAC ID: 3779510896 Enrollment ID: I20050720000790 |
Provider Name | Deana L Albert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578543278 PECOS PAC ID: 1759309149 Enrollment ID: I20051103001020 |
Provider Name | Bethany Picker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407952468 PECOS PAC ID: 3375543275 Enrollment ID: I20061227000100 |
Provider Name | Thomas C Hattan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598708315 PECOS PAC ID: 4385692441 Enrollment ID: I20070723000042 |
Provider Name | Jacqueline Seguin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851585111 PECOS PAC ID: 4486742442 Enrollment ID: I20071109000004 |
Provider Name | Chris I Gillis |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1811920994 PECOS PAC ID: 5294817599 Enrollment ID: I20080125000103 |
Provider Name | Said Daoud |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1881775864 PECOS PAC ID: 4981786662 Enrollment ID: I20080204000265 |
Provider Name | Gary S Rivard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194801993 PECOS PAC ID: 3870649973 Enrollment ID: I20090915000174 |
Provider Name | Jeffrey J Lynds |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851554075 PECOS PAC ID: 9436329430 Enrollment ID: I20110831000114 |
Provider Name | Lisa S Mcallister |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295998417 PECOS PAC ID: 9739350125 Enrollment ID: I20110914000826 |
Provider Name | Anne Merrick |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1932419132 PECOS PAC ID: 0648442947 Enrollment ID: I20111010000599 |
Provider Name | Stephanie Y Sinclair |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265695480 PECOS PAC ID: 0941467583 Enrollment ID: I20120209000007 |
Provider Name | Lisa M Kelsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609801729 PECOS PAC ID: 5193892651 Enrollment ID: I20130712000015 |
Provider Name | Elizabeth A Steward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730501818 PECOS PAC ID: 2769614239 Enrollment ID: I20140416000065 |
Provider Name | Mahnee Dinsmore |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1336132273 PECOS PAC ID: 2961422647 Enrollment ID: I20140728000919 |
Provider Name | Jennifer S Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093122475 PECOS PAC ID: 1456579572 Enrollment ID: I20140902001093 |
Provider Name | Anne M Johnson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578657052 PECOS PAC ID: 2365664083 Enrollment ID: I20141113001701 |
Provider Name | Kara T Bellegarde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861892440 PECOS PAC ID: 0143442707 Enrollment ID: I20141114001033 |
Provider Name | Joline A Sage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285038174 PECOS PAC ID: 8527383736 Enrollment ID: I20150211000386 |
Provider Name | Seth Adam Stein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942444047 PECOS PAC ID: 9830336726 Enrollment ID: I20150826000572 |
Provider Name | Margo Goodman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912268764 PECOS PAC ID: 2860615820 Enrollment ID: I20150903001891 |
Provider Name | Susanna M Erber |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1174506141 PECOS PAC ID: 1759436231 Enrollment ID: I20151021002642 |
Provider Name | Nicole S Boutaugh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144668914 PECOS PAC ID: 2961625892 Enrollment ID: I20160425001281 |
Provider Name | Leslie Bradbury |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952749723 PECOS PAC ID: 7416180161 Enrollment ID: I20161017002547 |
Provider Name | Kara A Callahan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578901344 PECOS PAC ID: 5890928543 Enrollment ID: I20161031002282 |
Provider Name | Lisa Torgersen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568800332 PECOS PAC ID: 9931332541 Enrollment ID: I20161101000122 |
Provider Name | Amber H Anderson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821433988 PECOS PAC ID: 5496998452 Enrollment ID: I20170313000293 |
Provider Name | Kristin Arsenault |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891226221 PECOS PAC ID: 0042596512 Enrollment ID: I20170418000588 |
Provider Name | Kevin Stephens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821046244 PECOS PAC ID: 7911903836 Enrollment ID: I20170627003169 |
Provider Name | Evan M Barnathan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558773994 PECOS PAC ID: 9537385570 Enrollment ID: I20170818000300 |
Provider Name | Kimberly D Desanctis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932614161 PECOS PAC ID: 7113287756 Enrollment ID: I20180130003019 |
Provider Name | Lara S Ilyas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902241425 PECOS PAC ID: 1153559828 Enrollment ID: I20180131001051 |
Provider Name | Sophie Dojacques |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1669406542 PECOS PAC ID: 2961477229 Enrollment ID: I20180306001461 |
Provider Name | Samit A Patel |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1053545228 PECOS PAC ID: 5092061259 Enrollment ID: I20180702002725 |
Provider Name | Heidi Walls |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902291446 PECOS PAC ID: 1153635198 Enrollment ID: I20181029001587 |
Provider Name | Dorathy E Moneke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013480144 PECOS PAC ID: 4183963895 Enrollment ID: I20190225000961 |
Provider Name | Tina L Love |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275197642 PECOS PAC ID: 3971836032 Enrollment ID: I20190605002017 |
Provider Name | Lauren D Nadkarni |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407233497 PECOS PAC ID: 0042524266 Enrollment ID: I20200324000090 |
Provider Name | Michael Winfree |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619271681 PECOS PAC ID: 0941489652 Enrollment ID: I20200519001589 |
Provider Name | Candace Labonte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598373680 PECOS PAC ID: 2567889629 Enrollment ID: I20200903001462 |
Provider Name | Jennifer E Couture |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891225140 PECOS PAC ID: 4688948565 Enrollment ID: I20201008001778 |
Provider Name | Meryem Chaudhry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356861835 PECOS PAC ID: 7012286974 Enrollment ID: I20210126002057 |
Provider Name | Christopher C Decker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871023127 PECOS PAC ID: 4486927597 Enrollment ID: I20210212002228 |
Provider Name | Robert Gayle |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1568626307 PECOS PAC ID: 7618118662 Enrollment ID: I20210603002455 |
Provider Name | Patricia Collins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083108773 PECOS PAC ID: 3375893795 Enrollment ID: I20220124002053 |
Provider Name | Sarah Gray |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225533821 PECOS PAC ID: 9436562543 Enrollment ID: I20220221002172 |
Provider Name | Louis A Wesley |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1114937398 PECOS PAC ID: 8820046451 Enrollment ID: I20220224000425 |
Provider Name | Jessica King |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649615923 PECOS PAC ID: 9638464340 Enrollment ID: I20220503002192 |
Provider Name | Benjamin Wainblat |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205491164 PECOS PAC ID: 1658606454 Enrollment ID: I20220829002173 |
Provider Name | Natalie Bolduc Nicols |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669125977 PECOS PAC ID: 9032595301 Enrollment ID: I20221011000382 |
Provider Name | Nancy Asamoa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023135639 PECOS PAC ID: 1355435793 Enrollment ID: I20230112002778 |
Provider Name | Joshua Slep |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477900058 PECOS PAC ID: 2264723006 Enrollment ID: I20230119001786 |
Provider Name | Jade Mangiafico |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1285346841 PECOS PAC ID: 7618348574 Enrollment ID: I20230201000870 |
Provider Name | Debora B Ivy Sanderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427044288 PECOS PAC ID: 5193736775 Enrollment ID: I20230320000115 |
Provider Name | Michele Asa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922376417 PECOS PAC ID: 5294986584 Enrollment ID: I20230321002184 |
Provider Name | Ann Abraham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437152048 PECOS PAC ID: 9335276633 Enrollment ID: I20230622003285 |
Provider Name | Jesse Leeds |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487279162 PECOS PAC ID: 1456774561 Enrollment ID: I20230628003275 |
Provider Name | Ethan Hight Linscott |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083233043 PECOS PAC ID: 0042670713 Enrollment ID: I20230713002466 |
Provider Name | Saranah Linscott |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144846635 PECOS PAC ID: 9335500974 Enrollment ID: I20230731000961 |
Provider Name | Lauren Mason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588342596 PECOS PAC ID: 4789048786 Enrollment ID: I20230908002971 |
Provider Name | Volney Willett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912964966 PECOS PAC ID: 9234157215 Enrollment ID: I20231003003695 |
Provider Name | Caitlin Bevvino Ring |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811512288 PECOS PAC ID: 3072927581 Enrollment ID: I20240220002172 |
Provider Name | Manuel Fernando Sanchez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932718210 PECOS PAC ID: 1658715206 Enrollment ID: I20240222000567 |