SUNBURY PRIMARY CARE, P.A. (NPI# 1205915899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205915899 |
| Entity Type | Organization |
| Organization Name | SUNBURY PRIMARY CARE, P.A. |
| Other Organization Name | ORONO FAMILY MEDICINE |
| Practice Address |
291 Main St Orono ME 04473-3439 |
| Mailing Address |
Po Box 921 Bangor ME 04402-0921 |
| Practice Telephone | 2078665531 |
| Practice Fax Number | 2078663748 |
| Mailing Telephone | 2079900864 |
| Mailing Fax Number | 2079905586 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2009-01-21 |
| 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 |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 124740009 | 05 |
| Other Name | Type Code |
|---|---|
| Orono Family 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 |
| 1124278684 | Sunbury Primary Care, P.a. | Preventive Medicine | 133 Corporate Dr, Suite 4, Bangor, ME 04401-4312 | 2008-09-22 |
| 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 |
| 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 |
291 MAIN ST |
| City | ORONO |
| State | ME |
| Zip Code | 04473-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225321961 | Orono Med Now | Clinic/Center | 16 Mill Street, Uite 4, Orono, ME 04473 | 2011-05-26 |
| 1134380512 | Renee Light | Social Worker | 6 Stillwater Ave, Orono, ME 04473 | 2008-06-19 |
| 1124048418 | Constance A Poulin | Social Worker | 6 Stillwater Avenue, University Mall, Orono, ME 04473 | 2006-07-20 |
| 1588131247 | Jesse Dale Damron | Occupational Therapy Assistant | 117 Bennoch Rd, Orono, ME 04473 | 2018-10-30 |
| 1356683981 | Penobscot Community Health Center | Clinic/Center | 9 Alumni Dr, Orono, ME 04473 | 2013-03-21 |
| 1093998536 | Cecil A Philpott | Social Worker | 6 Stillwater Avenue, University Mall, Orono, ME 04473 | 2007-12-06 |
| 1770799140 | Rachael Marie Tyler | Social Worker | 6 Stillwater Avenue, University Mall, Orono, ME 04473 | 2007-05-15 |
| 1235354051 | Jessica Ledier Daigle | Social Worker | 6 Stillwater Avenue, University Mall, Orono, ME 04473 | 2007-04-16 |
| 1861557423 | John S Hale Jr. | Psychologist | 69 Main St, Orono, ME 04473 | 2006-12-26 |
| 1750948444 | Lauren Marcella Daigle | Nurse Anesthetist, Certified Registered | 109 Gould Rd, Orono, ME 04473-3038 | 2019-05-29 |
| Find all providers in zip 04473 | ||||
| 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 |
|---|---|---|---|---|
| 1023027539 | Penny Lamhut | Family Medicine | 9 Alumni Dr, Orono, ME 04473-3479 | 2006-08-05 |
| 1780996009 | Shubekchha Aryal | Family Medicine | 84 Kelley Rd, Orono, ME 04473-3416 | 2010-07-02 |
| 1417116112 | Sunbury Primary Care Pa | Family Medicine | 9 Alumni Dr, Orono, ME 04473-3479 | 2008-06-06 |
| 1528185212 | Sarah E Stewart | Family Medicine | 5721 Cutler Health Ctr, Orono, ME 04469-5721 | 2007-03-26 |
| 1043252430 | Walter Doerfler | Family Medicine | 84 Kelley Rd, Orono, ME 04473-3416 | 2006-06-12 |
| 1962443713 | Glenn Stephen Rampe | Family Medicine | 84 Kelley Rd, Orono, ME 04473-3416 | 2006-06-10 |
| 1124069851 | Nina Elana Fagles | Family Medicine | 84 Kelley Rd, Orono, ME 04473-3416 | 2006-06-10 |
| 1841247293 | Harry M K Peddie | Family Medicine | 303 Main St, Orono, ME 04473-3442 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887025 | Down East Community Hospital | Family Medicine | 1039 Main St, East Machias, ME 04630 | 2020-10-08 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1649889874 | Kateri Jeffery | Family Medicine | 12 Shuman Ave Ste 3, Augusta, ME 04330-6020 | 2020-07-23 |
| 1063064285 | Victoria A Deane | Family Medicine | 37 Fall Brook St, Portland, ME 04103-4224 | 2019-07-09 |
| 1265961148 | Full Circle America LLC | Family Medicine | 73 Cedar Ln, Nobleboro, ME 04555-8664 | 2017-06-05 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1730541749 | Benjamin Slocum | Family Medicine | 126 Shaker Rd, Gray, ME 04039-9629 | 2016-03-28 |
| 1295129393 | Oren Gersten | Family Medicine | 27 Ocean St Ste 3, South Portland, ME 04106-2854 | 2015-03-26 |
| 1205240678 | Martha Gilman | Family Medicine | 66 Leighton Rd Ste 2, Falmouth, ME 04105-2225 | 2014-06-13 |
| 1568875565 | Thomas Albert | Family Medicine | 300 Professional Dr Ste 2c, Scarborough, ME 04074-8897 | 2014-06-06 |
| 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.