SUNBURY PRIMARY CARE, P.A. (NPI# 1124278684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124278684 |
| Entity Type | Organization |
| Organization Name | SUNBURY PRIMARY CARE, P.A. |
| Other Organization Name | HEALTHWORKS OCCUPATIONAL & SPORTS MEDICINE |
| Practice Address |
133 Corporate Dr Suite 4 Bangor ME 04401-4312 |
| Mailing Address |
Po Box 921 Bangor ME 04402-0921 |
| Practice Telephone | 2079920099 |
| Practice Fax Number | 2079929290 |
| Mailing Telephone | 2079427650 |
| Mailing Fax Number | 2079905583 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |
| Authorized Official Name | DAVID L SAVELL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2079427650 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNBURY PRIMARY CARE, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| HealthWORKS Occupational & Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629225750 | Sunbury Primary Care, P.a. | Family Medicine | 2370 Route 2, Hermon, ME 04401-0622 | 2008-08-20 |
| 1689743080 | Sunbury Primary Care, P.a. | Nurse Practitioner | Rt 2 Main Rd, Carmel, ME 04419 | 2006-11-07 |
| 1679668180 | Sunbury Primary Care, P.a. | Clinic/Center | 775 N Main Rd, Winterport, ME 04496 | 2006-10-03 |
| 1437242294 | Sunbury Primary Care, P.a. | Physician Assistant | 133 Corporate Drive, Suite 5, Bangor, ME 04401 | 2006-10-02 |
| 1487906541 | Sunbury Primary Care, P.a. | Family Medicine | 133 Corporate Dr, Suite 4, Bangor, ME 04401-4312 | 2012-10-12 |
| 1508939398 | Sunbury Primary Care, P.a. | Physician Assistant | 133 Corporate Dr, Suite 1, Bangor, ME 04401-4312 | 2006-11-17 |
| 1972682656 | Sunbury Primary Care, P.a. | Family Medicine | 21 Western Ave, Hampden, ME 04444-1422 | 2006-11-03 |
| 1205915899 | Sunbury Primary Care, P.a. | Nurse Practitioner | 291 Main St, Orono, ME 04473-3439 | 2006-11-03 |
| 1164501748 | Sunbury Primary Care, P.a. | Family Medicine | 329 Wilson St, Brewer, ME 04412-1504 | 2006-11-03 |
| 1538248141 | Sunbury Primary Care, P.a. | Podiatrist | 900 Broadway, Building 1, Bangor, ME 04401-1900 | 2006-11-03 |
| Street Address |
133 CORPORATE DR SUITE 4 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193679 | Ann B. Waitt | Nurse Practitioner | 133 Corporate Dr, Bangor, ME 04401-4312 | 2005-09-08 |
| 1225509052 | Lori T Lalime | Nurse Practitioner | 133 Corporate Dr, Bangor, ME 04401-4312 | 2018-12-05 |
| 1609388644 | Anna Mayo | Psychologist | 133 Corporate Dr, Bangor, ME 04401 | 2017-10-31 |
| 1033641386 | Kate Alina Hentschel | Pediatrics | 133 Corporate Dr, Bangor, ME 04401-4312 | 2017-03-28 |
| 1376089037 | Victoria Dorman | Dietitian, Registered | 133 Corporate Dr, Bangor, ME 04401-4312 | 2017-01-18 |
| 1356718639 | Jordan Ciel Fearon | Psychologist | 133 Corporate Dr, Emmc, Bangor, ME 04401-4312 | 2015-08-21 |
| 1750788907 | Elizabeth Bates | Nurse Practitioner | 133 Corporate Dr, Bangor, ME 04401-4312 | 2014-12-02 |
| 1801204524 | Yorgo Zahlanie | Pediatrics | 133 Corporate Dr, Bangor, ME 04401-4312 | 2014-07-25 |
| 1487906541 | Sunbury Primary Care, P.a. | Family Medicine | 133 Corporate Dr, Suite 4, Bangor, ME 04401-4312 | 2012-10-12 |
| 1770867368 | Mahmuda M Ahmed | Pediatrics | 133 Corporate Dr, Bangor, ME 04401-4312 | 2011-10-01 |
| 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 | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326101585 | Michael William Mainen | Preventive Medicine | 77 Broadway, Bangor, ME 04401-5203 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306006580 | Deborah S. Rojas | Preventive Medicine | 54 Saint John St, Portland, ME 04102-3018 | 2008-06-11 |
| 1093985434 | Richard Harry Wilkins | Preventive Medicine | 1278 Roosevelt Trl, Raymond, ME 04071-6604 | 2008-02-29 |
| 1841411337 | Alan Clark Bean | Preventive Medicine | 75 Weston Farm Road, Harrison, ME 04040 | 2007-05-01 |
| 1700909751 | Leslie Ann Walleigh | Preventive Medicine | Key Plz Fl 3, 286 Water St, 11 Shs, Augusta, ME 04333-0011 | 2007-04-06 |
| 1376563411 | Robert Edward Gaetjens | Preventive Medicine | 113 Wells St., Pratt &whitney Aircraft, North Berwick, ME 03906 | 2006-07-20 |
| 1821547860 | U.S. Healthworks Medical Group of Maine, Inc. | Preventive Medicine | 11 Medical Center Dr, Brunswick, ME 04011-2690 | 2016-10-03 |
| 1205385143 | U.S. Healthworks Medical Group of Maine, Inc. | Preventive Medicine | 400 Southborough Dr, South Portland, ME 04106-3249 | 2016-10-03 |
| 1366709735 | Shilpa Narasimhan Gowda | Preventive Medicine | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2012-04-23 |
| 1568792224 | St. Mary's Health System | Preventive Medicine | 15 Gracelawn Rd, Auburn, ME 04210-6334 | 2009-12-31 |
| 1124288659 | Jason M. Wade | Preventive Medicine | 219 Capitol St, Suite 2, Augusta, ME 04330-6235 | 2008-06-09 |
| Find all providers with the same taxonomy | ||||
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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.