AMEENA FAUQ


Address: 1 Northeast Dr, Bangor, ME 04401-4332
Phone: 9045366626

AMEENA FAUQ (NPI# 1306323613) 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) 1306323613
Entity Type Individual
Full Name AMEENA FAUQ
Credential PA-C
Practice Address 1 Northeast Dr
Bangor
ME 04401-4332
Mailing Address 43 Whiting Hill Rd Ste 300
Brewer
ME 04412-1006
Practice Telephone 9045366626
Enumeration Date 2018-07-20
Last Update Date 2018-09-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA1844 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1 NORTHEAST DR
City BANGOR
State ME
Zip Code 04401-4332

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760453344 Peter N Ver Lee Internal Medicine 1 Northeast Dr, Bangor, ME 04401-4332 2006-01-31
1821632738 Amelia Louise Mank Nurse Practitioner 1 Northeast Dr, Bangor, ME 04401-4332 2019-11-04
1780244434 Hannah Cavaleri Physician Assistant 1 Northeast Dr, Bangor, ME 04401-4332 2019-06-15
1306400700 Lindy May Thomas Internal Medicine 1 Northeast Dr, Bangor, ME 04401-4332 2019-05-01
1922564335 Lauren Mcdowell Carlson Dooley Physician Assistant 1 Northeast Dr, Bangor, ME 04401-4332 2019-02-11
1457822611 Carrie Anne Mercier Nurse Practitioner 1 Northeast Dr, Bangor, ME 04401-4332 2018-12-16
1477048734 Julie Joan Eastman Nurse Practitioner 1 Northeast Dr, Bangor, ME 04401 2018-06-28
1952845638 Nikolaus Thomas Hurley Physician Assistant 1 Northeast Dr, Bangor, ME 04401-4332 2016-12-14
1083164933 Brandi Lyon Physician Assistant 1 Northeast Dr, Bangor, ME 04401-4332 2016-10-04
1235503475 Sean J Farley Registered Nurse 1 Northeast Dr, Bangor, ME 04401-4332 2015-11-28
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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 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1548259211 Corianne L O'donnell Physician Assistant 103 Skyline Rd, Bangor, ME 04401-2158 2005-10-17
1497751812 Nelson E Meaker Physician Assistant 133 Corporate Dr Ste 5, Bangor, ME 04401-4312 2005-06-21
1356956239 Amanda Roberts Physician Assistant 489 State St, Bangor, ME 04401-6674 2020-09-09
1710521950 Allison Rose Bassam Harb Physician Assistant 931 Union St, Bangor, ME 04401-3011 2019-10-31
1588140347 Brandy Eldridge Physician Assistant 55 Broadway, Bangor, ME 04401-5201 2018-07-16
1891289963 Benjamin Schmidt Physician Assistant 489 State St, Bangor, ME 04401-6616 2018-06-21
1528558830 Kelli Megan Nicole Huth Physician Assistant 417 State St, Bangor, ME 04401-6630 2018-05-11
1952845638 Nikolaus Thomas Hurley Physician Assistant 1 Northeast Dr, Bangor, ME 04401-4332 2016-12-14
1083164933 Brandi Lyon Physician Assistant 1 Northeast Dr, Bangor, ME 04401-4332 2016-10-04
Find all providers in BANGOR

Competitor

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City BANGOR
Zip Code 04401

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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.

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