EASTERN MAINE MEDICAL CENTER


Address: 404 State St Ste 310, Bangor, ME 04401-6623
Phone: 2079738853

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
017306 ME Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities EASTERN MAINE MEDICAL CENTER 489 State St, Bangor, ME 04401-6674

Office Location

Street Address 404 STATE ST STE 310
City BANGOR
State ME
Zip Code 04401-6623

Providers in the same location

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

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 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City BANGOR
Zip Code 04401

Improve Information

Please comment or provide details below to improve the information on EASTERN MAINE MEDICAL CENTER.

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.

Trending Searches