JEREMY KENT WU


Address: 55 Broadway Ste 2, Bangor, ME 04401-5201
Phone: 2079470469

JEREMY KENT WU (NPI# 1508496845) 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) 1508496845
Entity Type Individual
Full Name JEREMY KENT WU
Credential CERTIFIED PA
Practice Address 55 Broadway Ste 2
Bangor
ME 04401-5201
Mailing Address 43 Whiting Hill Rd Ste 300
Brewer
ME 04412-1006
Practice Telephone 2079470469
Practice Fax Number 2079475368
Mailing Telephone 2079470469
Mailing Fax Number 2079475368
Enumeration Date 2020-01-24
Last Update Date 2020-04-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA2032 ME Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
50.006024 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 55 BROADWAY STE 2
City BANGOR
State ME
Zip Code 04401-5201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063640555 Curtis P. Ross Urology 55 Broadway Ste 2, Bangor, ME 04401-5201 2009-06-23
1902403132 Catlin Flynn Urology 55 Broadway Ste 2, Bangor, ME 04401-5201 2020-10-01
1023574357 Katherine Page Hintz Physician Assistant 55 Broadway Ste 2, Bangor, ME 04401-5201 2019-02-12

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 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679595433 John Nowak Physician Assistant 489 State Street, Eastern Maine Medical Center, Bangor, ME 04401 2006-07-24
1093730350 Melissa Becker Physician Assistant 925 Union St, Suite 3, Bangor, ME 04401-3051 2006-07-13
1356969521 Ashley Gilmore Physician Assistant 883 Union Street, Suite 145, Bangor, ME 04401 2020-07-14
1922668466 Kathryn Dobrovolny Physician Assistant 417 State St Ste 330, Bangor, ME 04401-6638 2019-06-17
1063076461 Nicole Louise Robitaille Physician Assistant 417 State St Ste 330, Bangor, ME 04401-6638 2019-05-01
1356809883 Abigail Elizabeth Bobbitt Physician Assistant 417 State Street, Webber West, Suite 443, Bangor, ME 04401 2019-03-04
1023574357 Katherine Page Hintz Physician Assistant 55 Broadway Ste 2, Bangor, ME 04401-5201 2019-02-12
1992286546 Royce Blackwood Physician Assistant 360 Broadway, Bangor, ME 04401-3979 2018-08-22
1609383041 Alana Rive Silverman Physician Assistant 417 State St Ste 221, Bangor, ME 04401-6630 2018-01-08
1366951501 Andrew Michael Zielinski Physician Assistant 417 State St Ste 340, Bangor, ME 04401-6634 2017-09-20
Find all providers in BANGOR

Competitor

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City BANGOR
Zip Code 04401

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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.

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