Susan Miesfeldt
Medical Oncology
100 Campus Drive Suite 110
Scarborough
, Maine 04074
Susan Miesfeldt
Medical Oncology
100 Campus Drive Suite 110
Scarborough
, Maine 04074
(207) 396-8632
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Susan Miesfeldt
- 301c Us Route 1
- Scarborough, ME
- Zip : 04074-9701
- Fax : (207) 396-8632
- Phone : (207) 396-8600
Second Address
- Susan Miesfeldt
- 100 Campus Drive Suite 110
- Scarborough, ME
- Zip : 04074
- Fax : (207) 396-8766
- Phone : (207) 396-7678
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | MD16381 | ME |
National Provider Identifier
| NPI | 1043281959 |
|---|---|
| Provider Name | Susan Miesfeldt |
| First Address | Scarborough, ME 04074-9701 |
| Second Address | Scarborough, ME 04074 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2006 |
| Last Update Date | 26/11/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 022168 | ANTHEM BCBS (01) | ME |
| 277890099 | (05) | ME |
| 30204925 | NH MEDICAID (01) | NH |
| 3394475 | AETNA HMO (01) | ME |
| 7338683 | CIGNA (01) | ME |
| 7429082 | AETNA (01) | ME |
| B77087 | (02) | |
| P00142224 | RAILROAD MEDICARE (01) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.