DR. MAYUR MOVALIA (NPI# 1639396690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639396690 |
| Entity Type | Individual |
| Full Name | DR. MAYUR MOVALIA |
| Credential | M.D. |
| Practice Address |
417 State St Webber West, Suite 541 Bangor ME 04401-6630 |
| Mailing Address |
417 State St Ste 541 Bangor ME 04401-6635 |
| Practice Telephone | 2079418200 |
| Mailing Telephone | 2079418200 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2013-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
MD17475 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
417 STATE ST WEBBER WEST, SUITE 541 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731131 | David Lawrence Levy | Internal Medicine | 417 State St, Ste 321, Bangor, ME 04401-6638 | 2005-06-24 |
| 1891304473 | Kristina Lynn Leonard | Nurse Practitioner | 417 State St, Bangor, ME 04401-6630 | 2020-07-29 |
| 1528558830 | Kelli Megan Nicole Huth | Physician Assistant | 417 State St, Bangor, ME 04401-6630 | 2018-05-11 |
| 1770005670 | Caitlin Dombrowski | Psychologist | 417 State St, Bangor, ME 04401 | 2017-07-12 |
| 1497281844 | Jamie Hight | Physician Assistant | 417 State St, Webber East Suite 221, Bangor, ME 04401-6630 | 2017-05-04 |
| 1255871240 | Courtney Lee Taylor | Nurse Practitioner | 417 State St, Webber East, Suite 421, Bangor, ME 04401-6630 | 2017-02-24 |
| 1083153977 | Tyler Munro | Physician Assistant | 417 State St, Suite 340, Bangor, ME 04401 | 2017-02-13 |
| 1457802530 | Carmen Jean Van Dusen | Nurse Practitioner | 417 State St, Suite 330, Bangor, ME 04401-6630 | 2016-10-24 |
| 1992187199 | Erin Borges | Physician Assistant | 417 State St, Webber West Suite 340, Bangor, ME 04401-6630 | 2015-06-24 |
| 1750789897 | Dahl Chase Diagnostic Services | Clinical Medical Laboratory | 417 State St, Suite 440, Bangor, ME 04401-6630 | 2014-12-05 |
| 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 | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
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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.