THOMAS CHARLES MARTIN


Address: 417 State St Ste 305, Bangor, ME 04401-6654
Phone: 2079738585

THOMAS CHARLES MARTIN (NPI# 1356520647) 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) 1356520647
Entity Type Individual
Full Name THOMAS CHARLES MARTIN
Credential M.D.
Practice Address 417 State St Ste 305
Bangor
ME 04401-6654
Mailing Address 43 Whiting Hill Rd Ste 300
Brewer
ME 04412-1006
Practice Telephone 2079738585
Practice Fax Number 2079738817
Mailing Telephone 2079735000
Mailing Fax Number 2079735042
Enumeration Date 2007-11-02
Last Update Date 2017-12-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
017607 ME Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
489 State St, Greystone Bldg, Bangor, ME 044020404 2079738955 2079739509

Other Providers THOMAS MARTIN

NPI Name Taxonomy Address Enumeration
1003387358 Thomas R. Martin Counselor 58 E Route 59 Ste 2, Nanuet, NY 10954-2959 2018-12-16
1346699477 Thomas Martin Dentist 921 Arrowwood Dr, Carmel, IN 46033-9044 2016-06-09
1073804084 Thomas Eugene Martin Military Health Care Provider 36329 Saint Raphael Dr, Murrieta, CA 92562-8846 2011-04-25
1710217831 Thomas G Martin Pharmacist 1517 N Wilmot Rd # 151, Tucson, AZ 85712-4410 2010-01-12
1457588543 Thomas James Martin General Practice 56 Rice St., Pawwtucket, RI 02861-1530 2009-06-16
1588820799 Thomas Anthony Martin Dentist 135 Meadow Ln, Tonawanda, NY 14223-1365 2008-08-07
1184899254 Thomas Ellsworth Martin Jr. Chiropractor 1020 N Providence Rd, Media, PA 19063-2101 2008-04-29
1770634198 Thomas O. Martin Psychologist 5621 Savina Ave, Dayton, OH 45415-1155 2007-01-13
1760580575 Thomas Alan Martin Pharmacist 111 Benjamin Ct, Shelby, NC 28152-8181 2006-09-20
1023128493 Thomas Patrick Martin Emergency Medicine 1221 W Ironwood Dr Ste 102, Coeur D Alene, ID 83814-1402 2006-08-30

Office Location

Street Address 417 STATE ST STE 305
City BANGOR
State ME
Zip Code 04401-6654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700229390 Anna F Henderson Pediatrics 417 State St Ste 305, Bangor, ME 04401-6654 2013-04-12
1467770784 Allison L. Behrle Yardley Pediatrics 417 State St Ste 305, Bangor, ME 04401-6654 2010-05-11
1164698569 Pip Hidestrand Pediatrics 417 State St Ste 305, Bangor, ME 04401-6654 2008-05-06

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 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437364742 Sean Carlton Hagenbuch Pediatrics Pediatric Op Specialty Care- Cardiology, 417 State St Webber East #305, Bangor, ME 04401-6654 2007-05-11
1518192459 Angela C Gilladoga Md Pediatrics 417 State St, Suite 200, Bangor, ME 04401-6630 2009-05-21
1164698569 Pip Hidestrand Pediatrics 417 State St Ste 305, Bangor, ME 04401-6654 2008-05-06
1336234897 Michael Richard Epstein Pediatrics 417 State St, Bangor, ME 04401-6630 2006-10-03
1134142227 Anglea C Gilladoga Pediatrics 417 State St, Suite 200, Bangor, ME 04401-6630 2006-07-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376809707 Michael Richard Hart Pediatrics 71 Us-1, Suite C, Scarborough, ME 04074 2012-04-10
1346311925 Pediatric Cardiology Assoc Pa Pediatrics 71 Us Route 1, Suite C, Scarborough, ME 04074-7173 2006-11-13
1346336880 Mary Elizabeth Hourihan Pediatrics 71 Us Route 1, Suite C, Scarborough, ME 04074-7173 2006-10-04
1023102456 Jon Patrick Donnelly Pediatrics 71 Us Route 1, Suite C, Scarborough, ME 04074-7173 2006-10-02
1295838183 Richard Carson Mcfaul Pediatrics 5 Miles Center Way, Damariscotta, ME 04543 2006-09-06
1255301974 Adrian M Moran Pediatrics 71 Us Route 1, Suite C, Scarborough, ME 04074-7173 2006-01-25
1851370068 Wade Hamilton Pediatrics 12 High St, Ste 301, Lewiston, ME 04240-7634 2006-01-16

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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