DR. JOSEPH M CONSTANTINE (NPI# 1154425403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154425403 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH M CONSTANTINE |
| Credential | DPM |
| Practice Address |
300 Hammond St Bangor ME 04401 |
| Practice Telephone | 2079429301 |
| Practice Fax Number | 2079429301 |
| Mailing Telephone | 2079429301 |
| Mailing Fax Number | 2079429301 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD135 | ME | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | BLUE CROSS | 000357 | 01 |
| PALMETTO GBA | 480033731 | 01 | |
| ME | 107220000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164722617 | Joseph Constantine | Speech-Language Pathologist | 4202 E Fowler Ave, Pcd 1017, Tampa, FL 33620-9951 | 2010-11-01 |
| Street Address |
300 HAMMOND ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073790184 | Joseph M. Constantine | Podiatrist | 300 Hammond St, Bangor, ME 04401-4645 | 2008-01-31 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962483719 | F Douglas Reynolds | Podiatrist | 700 Mount Hope Ave Ste 620, Bangor, ME 04401-5671 | 2005-11-09 |
| 1588657985 | Jason Eberly | Podiatrist | 325 Blue Valley Dr, Bangor, PA 18013-1526 | 2005-08-31 |
| 1477556652 | Edwin Jay Bruno | Podiatrist | 277 State St, Ste 1b, Bangor, ME 04401-5440 | 2005-05-23 |
| 1740415520 | William K Dahl | Podiatrist | 205 French St, Bangor, ME 04401-5064 | 2009-05-21 |
| 1538248141 | Sunbury Primary Care, P.a. | Podiatrist | 900 Broadway, Building 1, Bangor, ME 04401-1900 | 2006-11-03 |
| 1326121294 | Acadia Foot & Ankle Pa | Podiatrist | 700 Mount Hope Ave Ste 620, Bangor, ME 04401-3667 | 2006-10-23 |
| 1164490009 | Keith S Kendall | Podiatrist | 700 Mount Hope Ave Ste 620, Bangor, ME 04401-5671 | 2006-03-08 |
| 1134100456 | Adam W Darcy | Podiatrist | 700 Mount Hope Ave Ste 620, Bangor, ME 04401-5671 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336367416 | Sandy River Podiatry, Pa | Podiatrist | 114 Perham St, Farmington, ME 04938-1520 | 2007-04-23 |
| 1184775447 | Foot & Ankle Center of Southern Maine | Podiatrist | 75 Portland Rd, Kennebunk, ME 04043-6602 | 2007-01-15 |
| 1700933124 | Maurice R Gardner | Podiatrist | 681 Sabattus St, Lewiston, ME 04240-3829 | 2007-01-05 |
| 1962561480 | Brunswick Foot & Ankle Center, LLC | Podiatrist | 2 Union Street, Suite 1, Brunswick, ME 04011 | 2006-12-08 |
| 1003902149 | Peter Tioseco Ocampo | Podiatrist | 25 Plaza Dr, Ste 9, Scarborough, ME 04074-6900 | 2006-10-05 |
| 1003917337 | Kimberly S. Mason | Podiatrist | 357 Plains Rd, Readfield, ME 04355-3125 | 2006-09-26 |
| 1972602423 | Richard Dimario | Podiatrist | 1 Brickyard Lane, Unit A, York, ME 03909 | 2006-09-21 |
| 1659479541 | Christopher A Toth | Podiatrist | 46 Barra Rd Ste 101, Biddeford, ME 04005-9461 | 2006-09-21 |
| 1205941952 | Harold E Chamberlin | Podiatrist | 333 Lincoln Street, Kimball Health Ctr, Saco, ME 04072 | 2006-08-21 |
| 1407860232 | Steven Gershman | Podiatrist | 280 Minot Ave, Auburn, ME 04210-4867 | 2006-07-28 |
| 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.