SUNBURY PRIMARY CARE PA (NPI# 1417116112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417116112 |
Entity Type | Organization |
Organization Name | SUNBURY PRIMARY CARE PA |
Other Organization Name | DIRIGO OFFICE |
Practice Address |
9 Alumni Dr Orono ME 04473-3479 |
Mailing Address |
Po Box 921 Bangor ME 04402-0921 |
Practice Telephone | 2072235674 |
Practice Fax Number | 2072235675 |
Mailing Telephone | 2079427650 |
Mailing Fax Number | 2079905583 |
Enumeration Date | 2008-06-06 |
Last Update Date | 2008-06-06 |
Authorized Official Name | DAVID L SAVELL (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 2079427650 |
Is Organization Subpart | Y |
Parent Organization Name | SUNBURY PRIMARY CARE PA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Dirigo Office | Doing Business As Name - Organization |
Street Address |
9 ALUMNI DR |
City | ORONO |
State | ME |
Zip Code | 04473-3479 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023027539 | Penny Lamhut | Family Medicine | 9 Alumni Dr, Orono, ME 04473-3479 | 2006-08-05 |
1356683981 | Penobscot Community Health Center | Clinic/Center | 9 Alumni Dr, Orono, ME 04473 | 2013-03-21 |
1134405319 | Penny Lamhut | Family Medicine | 9 Alumni Dr, Orono, ME 04473-3479 | 2011-11-01 |
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 |
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 |
1770652331 | Elizabeth King Mcconnon | Counselor | 2269 Essex St, Orono, ME 04473-3043 | 2006-11-07 |
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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 |
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 |
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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.