PRIMARY CARE PEDIATRICS (NPI# 1548306723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548306723 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PEDIATRICS |
| Practice Address |
700 Mount Hope Ave Ste 640 Bangor ME 04401-5691 |
| Practice Telephone | 2079476739 |
| Practice Fax Number | 2079423554 |
| Mailing Telephone | 2079476739 |
| Mailing Fax Number | 2079423554 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERI DOW (OFFICE MANAGER) |
| Authorized Official Telephone | 2079476739 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 007119 | ME | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700203767 | Primary Care Pediatrics | Pediatrics | 25 Walnut St, Suite 102, Wellesley, MA 02481-2152 | 2014-03-27 |
| 1588969539 | Primary Care Pediatrics | Pediatrics | 2380 N 400 E, Suite C, North Logan, UT 84341-1756 | 2011-01-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PRIMARY CARE PEDIATRICS, PLLC | 1555 Commonwealth Ave., W. Newton, MA 02465 |
| Street Address |
700 MOUNT HOPE AVE STE 640 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427258 | Paul Alan Shapero | Allergy & Immunology | 700 Mount Hope Ave, Suite 430, Bangor, ME 04401-5691 | 2005-06-16 |
| 1437559473 | Angela Bull | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2014-08-27 |
| 1083029953 | Mary Beaster | Speech-Language Pathologist | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2014-06-30 |
| 1710318399 | Becky Mansfield | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2013-12-06 |
| 1699014241 | United Cerebral Palsy of Northeastern Maine | Speech-Language Pathologist | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5680 | 2013-02-01 |
| 1558607432 | Amanda Conners | Social Worker | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-12-20 |
| 1669716304 | United Cerebral Palsy of Northeastern Maine | Community/Behavioral Health | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-11-19 |
| 1730423872 | Jonathan C Smith | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-11-15 |
| 1063765253 | Spectrum Healthcare Partners, P.a | Surgery | 700 Mount Hope Ave, Ste 620, Bangor, ME 04401 | 2012-10-25 |
| 1225303498 | United Cerebral Palsy of Northeastern Maine | Dental Hygienist | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-03-20 |
| 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 | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053791301 | Karen J Delaney Dds | Exclusive Provider Organization | 399 Main St, Calais, ME 04619-1859 | 2015-06-02 |
| 1780811901 | Tumbledown Farm | Exclusive Provider Organization | 329 Main Rd, Bradford, ME 04410-3320 | 2009-06-15 |
| 1326184698 | Vittoria J Bruni-stevens | Exclusive Provider Organization | 329 Main Rd, Bradford, ME 04410-3320 | 2007-01-30 |
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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.