Maine Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

1822 Issued in ME

Legal business name

MAINE DERMATOLOGY, LLC

Practice address

2239 Atlantic Hwy
Lincolnville, ME 04849-5310

Phone

(207) 230-1007

Fax

(207) 230-1008

NPI assigned

Oct 25, 2006

Last updated

Jun 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charmaine Jensen, D.O.NPI 1215010889

Title

Owner/ Doctor

Phone

(207) 230-1007

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charmaine B Jensen, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Lincolnville, ME
  • NPI 1215010889
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1710061494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 ATLANTIC HWY",
            "city": "LINCOLNVILLE",
            "state": "ME",
            "postal_code": "048495310",
            "telephone_number": "207-230-1007",
            "fax_number": "207-230-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 ATLANTIC HWY",
            "city": "LINCOLNVILLE",
            "state": "ME",
            "postal_code": "048495310",
            "telephone_number": "207-230-1007",
            "fax_number": "207-230-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "207-230-1007",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "1822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Community Mental Health Services
• Lori Doolen, RN IBCLC
• Kim Flewelling, SLP
• Charmaine B Jensen, D.O.
• Mark Jensen, D.O.
• Laura Mia Mantello
• Mark Jensen, DO, LLC
• Misuk Nelson, MASSAGE THERAPIST
• William Norfleet, MD
• Deborah Janet Peabody, M.D.

• Dermatology Physician in Lincolnville, ME
• Providers in Lincolnville, ME by specialty
• Dermatology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.