MRS. ANN BOOMER


Address: Nicu Professional Services Emmc, 489 State Street, Bangor, ME 04401-0404
Phone: 2079738670

MRS. ANN BOOMER (NPI# 1245267335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245267335
Entity Type Individual
Full Name MRS. ANN BOOMER
Credential NNP
Practice Address Nicu Professional Services Emmc
489 State Street
Bangor
ME 04401-0404
Mailing Address 43 Whiting Hill Rd Ste 300
Brewer
ME 04412-1006
Practice Telephone 2079738670
Practice Fax Number 2079735163
Mailing Telephone 2079735000
Mailing Fax Number 2079735163
Enumeration Date 2006-06-26
Last Update Date 2020-04-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
CNP81620 ME Allopathic & Osteopathic Physicians
N 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
R048086 ME Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
Nicu Professional Services Emmc, 489 State Street, Bangor, ME 044010404 2079738670 2079735163

Office Location

Street Address NICU PROFESSIONAL SERVICES EMMC
489 STATE STREET
City BANGOR
State ME
Zip Code 04401-0404

Providers in the same zip code

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 Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255360582 Mark S Brown Pediatrics Nicu Professional Services-emmc, 489 State Street, Bangor, ME 04401 2006-06-30
1952412066 David M Walter Pediatrics 489 State Street, Emmc -, Bangor, ME 04401-0404 2006-08-31
1447264494 Mary Elizabeth Black Pediatrics 489 State St, Bangor, ME 04401-6616 2006-07-27
1740211283 John Jay Hagerty Pediatrics 489 State St, Nicu Professional Services Emmc, Bangor, ME 04401-6616 2006-07-05
1821026055 Macario F. Lichauco Pediatrics 489 State St, Kelly 6 Eastern Maine Medical Center, Bangor, ME 04401-6616 2006-06-28
1619948668 Tracy Kendrew Stevens Pediatrics 489 State St, Bangor, ME 04401-6616 2006-01-29
1790761997 Kumar Akilesh Pediatrics 489 State St, Bangor, ME 04401-6616 2005-12-20
1558345652 Jay Kerecman Pediatrics 489 State St, Bangor, ME 04401-6616 2005-12-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780868778 William Lee Salomon Pediatrics 79 Cobb Rd, Poland, ME 04274-6361 2007-12-26
1124148390 Douglas Dransfield Pediatrics 22 Bramhall St, Portland, ME 04102-3134 2007-03-30
1124158522 Michael Vozzelli Pediatrics 22 Bramhall St, Portland, ME 04102-3134 2007-03-06
1023148509 Stephanie Boggs Pediatrics 300 Main St, Lewiston, ME 04240-7027 2007-03-06
1548390974 Dale Kessler Pediatrics 22 Bramhall St, Portland, ME 04102-3134 2007-03-06
1053441410 Daniel Sobel Pediatrics 22 Bramhall St, Portland, ME 04102-3134 2007-03-06
1275663775 Peter Marro Pediatrics 22 Bramhall St, Portland, ME 04102-3134 2007-03-06
1831229277 Brenda Medlin Pediatrics 22 Bramhall St, Portland, ME 04102-3134 2007-03-06
1417087883 Maine Neonatology Associates Pediatrics 22 Bramhall St, Portland, ME 04102-3175 2007-03-06

Competitor

Search similar providers

City BANGOR
Zip Code 04401

Improve Information

Please comment or provide details below to improve the information on MRS. ANN BOOMER.

Dataset Information

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.

Trending Searches