ACADIA MEDICAL ARTS PAIN MANAGEMENT LLC (NPI# 1063607422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063607422 |
| Entity Type | Organization |
| Organization Name | ACADIA MEDICAL ARTS PAIN MANAGEMENT LLC |
| Practice Address |
404 State St Ste 300 Bangor ME 04401-6623 |
| Mailing Address |
404 State St Ste 200 Bangor ME 04401-6652 |
| Practice Telephone | 2079900928 |
| Practice Fax Number | 2079454354 |
| Mailing Telephone | 2079900928 |
| Mailing Fax Number | 2079454354 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2011-06-03 |
| Authorized Official Name | MRS. PAULETTE A BLUE (ADMINISTRATOR) |
| Authorized Official Telephone | 2079900928 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA MEDICAL ARTS AMBULATORY SURGERY SUITES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | BLUE CROSS/BLUE SHIELD | 200363 | 01 |
| ME | 432748500 | 05 | |
| ME | AETNA | 1716688 | 01 |
| ME | CIGNA | 7937210 | 01 |
| Street Address |
404 STATE ST STE 300 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6623 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043207 | William Benjamin Zolper | Anesthesiology | 1365 Broadway, Bangor, ME 04401-2401 | 2005-09-16 |
| 1487917704 | Eric Wise | Anesthesiology | 1365 Broadway, Bangor, ME 04401-2401 | 2012-06-21 |
| 1053581058 | Frederick Craig Littlejohn | Anesthesiology | 1365 Broadway, Bangor, ME 04401-2401 | 2008-03-05 |
| 1508809492 | Peter W Thompson | Anesthesiology | 1365 Broadway, Bangor, ME 04401-2401 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871612424 | W Thomas Dunn Jr. | Anesthesiology | 24 N Auburn Rd, Auburn, ME 04210-8710 | 2007-03-28 |
| 1144312778 | Peter W Just | Anesthesiology | 50 Union St, Suite 3100, Ellsworth, ME 04605-1534 | 2006-09-29 |
| 1073763488 | Karl Saba | Anesthesiology | 77 Bates St, Ste. 101, Lewiston, ME 04240-7637 | 2008-09-22 |
| 1235391152 | Peter W. Just, Md Pa | Anesthesiology | 50 Union St, Suite 3100, Ellsworth, ME 04605-1586 | 2008-07-01 |
| 1881689065 | Muhammad A Khan | Anesthesiology | 25a June St, Sanford, ME 04073-2642 | 2005-09-14 |
| 1801881362 | Leonid I Temkin | Anesthesiology | 25a June St, Sanford, ME 04073-2642 | 2005-09-12 |
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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.