D THOMPSON MCGUIRE (NPI# 1669476420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669476420 |
| Entity Type | Individual |
| Full Name | D THOMPSON MCGUIRE |
| Credential | M.D. |
| Practice Address |
78 Ridgewood Dr Bangor ME 04401-2652 |
| Practice Telephone | 2079478381 |
| Practice Fax Number | 2079475708 |
| Mailing Telephone | 2079478381 |
| Mailing Fax Number | 2079475708 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2018-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 01659 | ME | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
01659 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 5274471 | 01 | |
| ME | 287150099 | 05 | |
| HP | G02570 | 01 | |
| ANTHEM | 060627 | 01 | |
| CIGNA | 5890580 | 01 |
| Street Address |
78 RIDGEWOOD DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153293 | P. Gregory Askins | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2005-06-09 |
| 1811310485 | Jesse Jandreau | Physical Therapist | 78 Ridgewood Dr, Bangor, ME 04401 | 2014-02-01 |
| 1679913792 | Karis Ann Filteau | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2013-07-03 |
| 1417240508 | Joshua Vaughn | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401 | 2011-05-23 |
| 1942509161 | Antonios Tsismenakis | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2011-03-28 |
| 1962714246 | Claire Costanza | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2010-07-02 |
| 1942537402 | Carolyn Pollard Savage | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2009-11-04 |
| 1720244262 | Jacob David Brooks | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2008-08-04 |
| 1083824106 | Cameron Lee Trubey | Family Medicine | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-05-24 |
| 1962627927 | Peter Alex Green | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-04-16 |
| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275757650 | Stephen R Thompson | Orthopaedic Surgery | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2007-04-13 |
| 1609885219 | Kenneth Russell Morse | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380838 | Fred Lincoln Avery | Orthopaedic Surgery | 85 Bruce Hill Rd, Cumberland, ME 04021-3525 | 2005-07-20 |
| 1780846675 | Dennis J Sullivan, M.d., P.a. | Orthopaedic Surgery | 100 Foden Rd, Suite West 307, South Portland, ME 04106-2327 | 2008-07-01 |
| 1467638312 | Advanced Orthopaedics and Sports Medicine, LLC | Orthopaedic Surgery | 100 Foden Rd, Suite 307, South Portland, ME 04106-2327 | 2008-01-10 |
| 1295752657 | Jean Pierre Michaud | Orthopaedic Surgery | 163 Van Buren Rd, Orthopedic Services, Caribou, ME 04736-3567 | 2006-07-15 |
| 1497770853 | Dennis J Sullivan | Orthopaedic Surgery | 7 Portland Farms Rd, Suite 2, Scarborough, ME 04074 | 2006-07-13 |
| 1790785632 | Douglas W Brown | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2005-07-21 |
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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.