Healthcare Provider Details

I. General information

NPI: 1801938220
Provider Name (Legal Business Name): SHEILA MELANIE GERRY PINETTE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHEILA MELANIE GERRY PINETTE DO

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 GRANITE RIDGE RD
CAPE ELIZABETH ME
04107-1640
US

IV. Provider business mailing address

9 GRANITE RIDGE RD
CAPE ELIZABETH ME
04107-1640
US

V. Phone/Fax

Practice location:
  • Phone: 207-317-1843
  • Fax:
Mailing address:
  • Phone: 207-317-1843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1785
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: