PENOBSCOT BAY PHYSICIANS & ASSOCIATES (NPI# 1497799720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497799720 |
| Entity Type | Organization |
| Organization Name | PENOBSCOT BAY PHYSICIANS & ASSOCIATES |
| Practice Address |
3 Glen Cove Dr Suite 2 Rockport ME 04856-4232 |
| Practice Telephone | 2075968910 |
| Practice Fax Number | 2075935302 |
| Mailing Telephone | 2075968910 |
| Mailing Fax Number | 2075935302 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LYN B FALLER (DIRECTOR) |
| Authorized Official Telephone | 2075968903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
3 GLEN COVE DR SUITE 2 |
| City | ROCKPORT |
| State | ME |
| Zip Code | 04856-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114902749 | Lars M Ellison | Urology | 3 Glen Cove Dr, Rockport, ME 04856-4232 | 2005-12-06 |
| 1033552054 | Eve K Hadley | Advanced Practice Midwife | 3 Glen Cove Dr, Suite 1, Rockport, ME 04856-4232 | 2013-04-09 |
| 1598028839 | Wendelanne Augunas | Counselor | 3 Glen Cove Dr, Rockport, ME 04856-4232 | 2012-06-21 |
| 1417057340 | Elizabeth A Tulip | Physician Assistant | 3 Glen Cove Dr, Rockport, ME 04856-4232 | 2006-09-22 |
| 1447350301 | Clara B Buescher | Advanced Practice Midwife | 3 Glen Cove Dr, Rockport, ME 04856-4232 | 2006-09-22 |
| 1831297803 | Martyn A Vickers Jr. | Urology | 3 Glen Cove Dr, Rockport, ME 04856-4232 | 2006-09-21 |
| 1104923077 | Marian Lynne Frey | Advanced Practice Midwife | 3 Glen Cove Dr, Rockport, ME 04856-4232 | 2006-09-20 |
| 1467559336 | Susan E Harris | Advanced Practice Midwife | 3 Glen Cove Dr, Rockport, ME 04856-4232 | 2006-09-20 |
| 1952408635 | Katherine A Killoran | Obstetrics & Gynecology | 3 Glen Cove Dr, Rockport, ME 04856-4232 | 2006-09-17 |
| 1699872374 | Thomas J. O'connor IIi | Obstetrics & Gynecology | 3 Glen Cove Dr, Rockport, ME 04856-4232 | 2006-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171585 | Lisa Manley | Physical Therapist | 6 Glen Cove Drive, Pbmc, Rockport, Me, ME 04856 | 2018-07-25 |
| 1871096834 | Brenda K Berry | Registered Nurse | 731 Commercial Street, Rockport, ME 04856 | 2018-03-15 |
| 1174908495 | Atlantic Behavior Services, Inc | Behavioral Analyst | 112 Union Street, Rockport, ME 04856 | 2015-07-28 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1790024438 | Michelle Gallant | Dental Hygienist | 37 Chickawaukie Pond Rd, Rockport, ME 04856 | 2013-01-31 |
| 1316221666 | Nancy K Alexander | Advanced Practice Midwife | 3 Glen Cove Dr Ste 1, Rockport, ME 04856 | 2011-10-05 |
| 1619283793 | Karen Canfield | Social Worker | 41 Forsest St, Rockport, ME 04856 | 2010-08-26 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1598999369 | Patricia L. Kristiansen | Occupational Therapy Assistant | 6 Madelyn Lane, Rockport, ME 04856 | 2009-05-08 |
| 1801020797 | Tiffany Ann Darge | Dental Hygienist | 1060 Commercial St., Rockport, ME 04856 | 2009-05-07 |
| Find all providers in zip 04856 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972015774 | Down East Community Hospital | Clinic/Center | 43 Palmer St Ste 1, Calais, ME 04619-1305 | 2017-11-02 |
| 1053752584 | New England Telemedicine Pa | Clinic/Center | 98 Route 236, Suite 2, Kittery, ME 03904-5527 | 2013-07-12 |
| 1609837236 | Goodall Health Partners | Clinic/Center | 27 June St, Sanford, ME 04073-2621 | 2006-03-31 |
| 1902422561 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-19 |
| 1407403611 | Evergreen Health, LLC | Clinic/Center | 29 Bowdoin St, Manchester, ME 04351-3554 | 2019-08-22 |
| 1801235023 | Penobscot Community Health Center | Clinic/Center | 6 Telcom Dr, Bangor, ME 04401-3072 | 2013-06-20 |
| 1871936609 | Southern Maine In Home Therapy Services,llc | Clinic/Center | 59 Sleepy Hollow Dr, Gorham, ME 04038-2563 | 2013-04-11 |
| 1467608836 | Mdfpr | Clinic/Center | 15 E Chestnut St, Augusta, ME 04330-5736 | 2008-08-17 |
| 1104005362 | Spurwink Services | Clinic/Center | 17 Bishop St, Portland, ME 04103-2659 | 2007-10-24 |
| 1568581882 | Children, Families and Communities, Inc. | Clinic/Center | 102 Main St, Ste. A, Ellsworth, ME 04605-1919 | 2007-03-28 |
| Find all providers with the same taxonomy | ||||
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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.