EASTERN MAINE MEDICAL CENTER (NPI# 1487781548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487781548 |
Entity Type | Organization |
Organization Name | EASTERN MAINE MEDICAL CENTER |
Practice Address |
404 State St Ste 310 Bangor ME 04401-6623 |
Practice Telephone | 2079738853 |
Practice Fax Number | 2079421929 |
Mailing Telephone | 2079738853 |
Mailing Fax Number | 2079421929 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2019-07-30 |
Authorized Official Name | MARC EDELMAN (SR. VP OF OPERATIONS) |
Authorized Official Telephone | 2079738992 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
017306 | ME | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790789147 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-06-13 |
1134492846 | Eastern Maine Medical Center | General Acute Care Hospital | 417 State St, Suite 421, Bangor, ME 04401-6630 | 2012-02-13 |
1780674580 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-10-24 |
1598755399 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-10-24 |
1588654479 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-10-24 |
1780674689 | Eastern Maine Medical Center | Rehabilitation Unit | 489 State St, Bangor, ME 04401-6616 | 2005-10-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | EASTERN MAINE MEDICAL CENTER | 489 State St, Bangor, ME 04401-6674 |
Street Address |
404 STATE ST STE 310 |
City | BANGOR |
State | ME |
Zip Code | 04401-6623 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437792710 | Kristen Marie Van Meter | Nurse Practitioner | 404 State St Ste 310, Bangor, ME 04401-6623 | 2019-10-19 |
1912369885 | Thitnu Wai Dirksen | Nurse Practitioner | 404 State St Ste 310, Bangor, ME 04401-6623 | 2016-03-22 |
1689055568 | Ana Aida Madrid Caballes | Internal Medicine | 404 State St Ste 310, Bangor, ME 04401-6623 | 2015-06-16 |
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 | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, 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. |
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 |
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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.