Arlene M. Kellman, D.O.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

2190 Issued in ME

Practice address

40 Park Rd
Westbrook, ME 04092-3188

Phone

(207) 857-8383

NPI assigned

Jan 31, 2008

Last updated

Sep 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Hospital

  dba Mercy Medical Associates

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1427313048
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1477731594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PARK RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923188",
            "telephone_number": "207-857-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PARK RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923188",
            "telephone_number": "207-857-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLMAN",
        "first_name": "ARLENE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "ME",
            "license": "2190",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "3401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie L Jordan, RN CERTIFIED
• Terry Lynn Jordan, LCSW
• Benjamin D Kapelson, LADC
• Brenna S Keefe, M.S. OTR/L
• Abigail Keenan, DO
• Sophia Kelly, BCBA
• Thomas John Kelly, LADC
• Catherine Ann Kemps, LCSW
• Sherry Kessler
• Lecea A Ketzler, DO

• Addiction Medicine (Internal Medicine) Physician in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Addiction Medicine (Internal Medicine) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.