Active NPIIndividual provider

Dianna S Gagnon, MD

Family Medicine in Westbrook, Maine

NPI Number1184283665
Practice location
90 Bridge St Ste 432, Westbrook, ME 04092-2948
Fax
207-481-8369
Last updated
August 25, 2022

Dianna Stade Gagnon is a Family Medicine based in Westbrook, ME. Dianna Stade Gagnon practices in Westbrook, ME and has the professional credentials of MD. The NPI Number for Dianna Stade Gagnon is 1184283665 and holds a License No. EC191062 (ME). The current practice location address for Dianna Stade Gagnon is 90 Bridge St Ste 432, Westbrook, ME 04092-2948 and can be reached out via phone at 207-619-0315 and via fax at 207-481-8369.

Provider Profile Details

NPI Number
1184283665
Provider Name
Dianna Stade Gagnon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
90 Bridge St Ste 432, Westbrook, ME 04092-2948
Phone Number
207-619-0315
Fax Number
207-481-8369
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Other Names
Dianna Stade, MD (Former Name)
Provider Enumeration Date
June 10, 2019
Last Update Date
August 25, 2022
Certification Date
August 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Bridge St Ste 432
Westbrook, ME 04092-2948
State
Maine
Zip
04092-2948
Phone Number
207-619-0315
Fax Number
207-481-8369
Westbrook, ME 04092Get directions →

Provider Business Mailing Address Details

Address
90 Bridge St Ste 432
Westbrook, ME 04092-2948
City
Westbrook
State
ME
Zip
04092-2948
Phone Number
207-619-0315
Fax Number
207-481-8369

License Information

License Number (1)
EC191062
License State (1)
ME
License Number (2)
MD25864
License State (2)
ME
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dianna S Gagnon, MD?

The NPI number of Dianna S Gagnon, MD is 1184283665. It was assigned on June 10, 2019 and is currently active in the NPPES registry.

What is the specialty of Dianna S Gagnon, MD?

Dianna S Gagnon, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ME under license number EC191062.

Where does Dianna S Gagnon, MD practice?

The practice location is 90 Bridge St Ste 432, Westbrook, ME 04092-2948. The office can be reached at 207-619-0315 (phone) or 207-481-8369 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184283665 directly on the NPPES registry website.

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