INDEPENDENT MEDICAL ASSOCIATES, PA (NPI# 1013023027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013023027 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT MEDICAL ASSOCIATES, PA |
| Practice Address |
78 Ridgewood Dr Bangor ME 04401-2652 |
| Practice Telephone | 2079470768 |
| Practice Fax Number | 2079459705 |
| Mailing Telephone | 2079470768 |
| Mailing Fax Number | 2079459705 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HENRY H ATKINS II (PRESIDENT) |
| Authorized Official Telephone | 2079470768 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
78 RIDGEWOOD DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153293 | P. Gregory Askins | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2005-06-09 |
| 1811310485 | Jesse Jandreau | Physical Therapist | 78 Ridgewood Dr, Bangor, ME 04401 | 2014-02-01 |
| 1679913792 | Karis Ann Filteau | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2013-07-03 |
| 1417240508 | Joshua Vaughn | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401 | 2011-05-23 |
| 1942509161 | Antonios Tsismenakis | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2011-03-28 |
| 1962714246 | Claire Costanza | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2010-07-02 |
| 1942537402 | Carolyn Pollard Savage | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2009-11-04 |
| 1720244262 | Jacob David Brooks | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2008-08-04 |
| 1083824106 | Cameron Lee Trubey | Family Medicine | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-05-24 |
| 1962627927 | Peter Alex Green | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225127905 | Lewis E Mehl-madrona | Family Medicine | 895 Union St Ste 12, Bangor, ME 04401-3054 | 2006-10-12 |
| 1831282771 | Penobscot Community Health Center | Family Medicine | 1048 Union St, Suite 5, Bangor, ME 04401-8600 | 2006-10-02 |
| 1659464584 | Penobscot Community Health Center | Family Medicine | 992 Union St. Suite J, Bangor, ME 04402 | 2006-10-02 |
| 1558370163 | David L Rocker | Family Medicine | 1012 Union Street, Bangor, ME 04401 | 2006-08-05 |
| 1194784991 | Noah Nesin | Family Medicine | 86 Davis Rd, Bangor, ME 04401-2311 | 2006-03-21 |
| 1619957966 | Ann L Holland | Family Medicine | 130 Cedar Street, Bangor, ME 04401 | 2006-01-20 |
| 1407847486 | Emily A. Burns | Family Medicine | 489 State St., Grant 6, Bangor, ME 04401 | 2005-10-31 |
| 1396734182 | Jessica Bloom-foster | Family Medicine | 895 Union St, Suite 12, Bangor, ME 04401-3053 | 2005-10-14 |
| 1154317626 | Francis J Cinelli | Family Medicine | 153 N 11th St, Bangor, PA 18013-1603 | 2005-09-21 |
| 1700886181 | Vaghenag Vahe Tarpinian | Family Medicine | 104 S 2nd St, Bangor, PA 18013-2504 | 2005-07-28 |
| Find all providers in BANGOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.