MICHELLE W GARDNER (NPI# 1548299118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548299118 |
| Entity Type | Individual |
| Full Name | MICHELLE W GARDNER |
| Credential | M.D. |
| Practice Address |
656 State St Bangor ME 04401-5609 |
| Mailing Address |
237 Shaw Hill Rd Hampden ME 04444-3410 |
| Practice Telephone | 2079414036 |
| Practice Fax Number | 2079414062 |
| Mailing Telephone | 2079414113 |
| Mailing Fax Number | 2079414062 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
015572 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265851703 | Michelle Diann Gardner | Specialist/Technologist | 615 S State St, Grangeville, ID 83530-2035 | 2014-04-14 |
| 1891073102 | Michelle A Gardner | Student in an Organized Health Care Education/Training Program | 3800 S 48th St, Lincoln, NE 68506-4345 | 2011-08-03 |
| 1316109945 | Michelle N Gardner | Occupational Therapist | 4255 Medwell Dr., Newburgh, IN 47630 | 2008-06-25 |
| 1639383599 | Michelle Ann Gardner | Optometrist | 808 Wacker Dr, Dubuque, IA 52002 | 2007-05-10 |
| 1447603808 | Michelle E Gardner | Nurse Practitioner | 3730 S Pinnacle Hills Pkwy Ste 2, Rogers, AR 72758 | 2016-07-20 |
| 1548614928 | Michelle Gardner | Nurse Practitioner | 400 Water Ave, Hillsboro, WI 54634-9054 | 2016-04-21 |
| 1831514702 | Michelle Gardner | Physical Therapist | 4801 Springfield St, Dayton, OH 45431-1084 | 2014-02-28 |
| 1831450469 | Michelle T Gardner | Pediatrics | 1001 Sam Perry Blvd, Fredericksburg, VA 22401 | 2012-05-30 |
| 1437231354 | Michelle Huffman Gardner | Family Medicine | 315 E Elm St, Ste 100, Caldwell, ID 83605-4857 | 2006-10-19 |
| 1366488892 | Michelle A Gardner | Nurse Practitioner | 489 State St, Bangor, ME 04401-6616 | 2006-06-22 |
| Street Address |
656 STATE ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776146 | State of Maine | Psychiatric Hospital | 656 State St, Bangor, ME 04401-5609 | 2005-08-09 |
| 1770018616 | Michele Hryc | Counselor | 656 State St, Bangor, ME 04401-5609 | 2017-04-28 |
| 1184020091 | State of Maine | Community/Behavioral Health | 656 State St, Bangor, ME 04401-5609 | 2014-11-05 |
| 1578776233 | Sandra J. Feverston | Pharmacist | 656 State St, Bangor, ME 04401-5609 | 2007-05-08 |
| 1023165081 | Maurice Pare | Family Medicine | 656 State St, Bangor, ME 04401-5609 | 2007-01-04 |
| 1003905647 | Judy A Burk | Psychiatry & Neurology | 656 State St, Dorothea Dix Psychiatric Center, Bangor, ME 04401-5609 | 2006-10-12 |
| 1679667851 | Bruce S Freedberg | Psychologist | 656 State St, Bangor, ME 04401-5609 | 2006-10-03 |
| 1295830479 | Kam Denise Atwood | Occupational Therapist | 656 State St, Bangor, ME 04401-5609 | 2006-09-13 |
| 1467554253 | Gary Greenlaw | Social Worker | 656 State St, Bangor, ME 04401-5609 | 2006-09-02 |
| 1003928540 | Jeffrey Whitehead Aston | Psychologist | 656 State St, Bangor, ME 04401-5609 | 2006-08-31 |
| Find all providers in the same location | ||||
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168031 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 267 Five Points Richmond Rd, Bangor, PA 18013-5226 | 2020-03-11 |
| 1417582263 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 363 Five Points Richmond Rd, Bangor, PA 18013-5228 | 2020-03-11 |
| 1558996314 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 401 Five Points Richmond Rd, Bangor, PA 18013-5230 | 2020-03-11 |
| 1184259400 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 187 Five Points Richmond Rd, Bangor, PA 18013-5224 | 2020-03-06 |
| 1871785972 | Sehar A Khokher | Psychiatry & Neurology | 288 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401-0000 | 2007-08-13 |
| 1285798207 | Epiphanes Kevork Balian | Psychiatry & Neurology | 45 Hogan Rd, Bangor, ME 04401-5601 | 2006-12-21 |
| 1740356997 | Bangor Psychiatric Associates, Pa | Psychiatry & Neurology | 444 Stillwater Ave Ste 210, Bangor, ME 04401-3500 | 2006-11-28 |
| 1841304193 | Irwin M Pasternak | Psychiatry & Neurology | 112 Franklin St, Bangor, ME 04401-4926 | 2006-08-17 |
| 1154345197 | Timothy Rockcress | Psychiatry & Neurology | 51 Main St # 53, Bangor, ME 04401-6303 | 2006-07-26 |
| 1487694204 | Marjorie Blue Snyder | Psychiatry & Neurology | 277 State St Ste 2a, Bangor, ME 04401-5440 | 2006-06-08 |
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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.