DR. GEORGE B PAYNE (NPI# 1396772513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396772513 |
| Entity Type | Individual |
| Full Name | DR. GEORGE B PAYNE |
| Credential | MD |
| Practice Address |
Picu Professional Services-emmc 489 State Street Bangor ME 04401-0404 |
| Mailing Address |
Emmc 489 State Street Kelly 6 Bangor ME 04401-0404 |
| Practice Telephone | 2079738670 |
| Practice Fax Number | 2079735163 |
| Mailing Telephone | 2079738670 |
| Mailing Fax Number | 2079735163 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
014716 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154760288 | George Thomas Payne | Social Worker | 535 Alturas Dr N, Twin Falls, ID 83301-4332 | 2013-06-21 |
| 1194926915 | George A. Payne | Denturist | 831 N Miller St, Wenatchee, WA 98801-2046 | 2007-05-30 |
| 1447234414 | George W Payne V | Optometrist | 608 Austin St, Levelland, TX 79336-4616 | 2005-12-02 |
| 1578805479 | George Mbuh Payne | Registered Nurse | 2236 Marshall Ave, Saint Paul, MN 55104-5799 | 2013-03-19 |
| 1952600686 | George Hunter Payne | Pharmacist | 1338 Winchester Rd Ne, Huntsville, AL 35811-8658 | 2011-03-21 |
| 1023033461 | George Lee Payne | Family Medicine | 622 W Maple St, Suite B, Farmington, NM 87401-6590 | 2006-07-13 |
| 1982644258 | George Raymond Payne IIi | Orthopaedic Surgery | 1800 Camelot Drive, Suite 300, Va Beach, VA 23454 | 2006-06-07 |
| Street Address |
PICU PROFESSIONAL SERVICES-EMMC 489 STATE STREET |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-0404 |
| 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659308799 | Jonathon P Wood | Pediatrics | Picu Professional Services Emmc, 489 State Street, Bangor, ME 04401-0404 | 2006-06-26 |
| 1336317635 | Anne Marie Yered | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2008-02-20 |
| 1083640163 | Amy J Movius | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699066647 | Michael Zubrow | Pediatrics | 22 Bramhall St, Portland, ME 04102 | 2011-04-26 |
| 1487953154 | Laura Amar-dolan | Pediatrics | 22 Bramhall St, Portland, ME 04102-3175 | 2011-03-21 |
| 1891976098 | Kristine M Pleacher | Pediatrics | 22 Bramhall St, Portland, ME 04102 | 2007-11-16 |
| 1205818929 | Kenneth J Banasiak | Pediatrics | 22 Bramhall St, Pediatric Intensive Care, Portland, ME 04102 | 2005-11-17 |
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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.