JACOB LEE POWELL (NPI# 1710505144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710505144 |
| Entity Type | Individual |
| Full Name | JACOB LEE POWELL |
| Practice Address |
925 Union St Ste 3 Bangor ME 04401-3051 |
| Practice Telephone | 2079738839 |
| Mailing Telephone | 2079738839 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT777 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487107231 | Jacob Robert Powell | Specialist/Technologist | 70 Fuller Ave, Swampscott, MA 01907-2150 | 2016-07-28 |
| 1407406192 | Jacob Powell | Case Manager/Care Coordinator | 2012 Highway 62 412, Highland, AR 72542-9477 | 2019-09-16 |
| 1396298113 | Jacob Powell | Behavioral Analyst | 2441 S Highway 27, Somerset, KY 42501-2935 | 2016-07-28 |
| 1073897393 | Jacob Powell | Emergency Medicine | 3851 Roger Brooke Dr # 3600, Department of Emergency Medicine, Fort Sam Houston, TX 78234-4501 | 2011-10-05 |
| 1376771733 | Jacob A Powell | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 | 2009-06-24 |
| Street Address |
925 UNION ST STE 3 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093791964 | John Additon Bradford | Specialist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2005-12-21 |
| 1184242505 | Lucas C Bartlett | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1255959680 | Amy Curry | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1366060634 | Sara Packard | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1831668342 | Tyler Lee Jamison | Pediatrics | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2018-11-14 |
| 1154863769 | David Newman | Orthopaedic Surgery | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2016-11-14 |
| 1912343823 | Tracy Bras | Physical Medicine & Rehabilitation | 925 Union St Ste 3, Bangor, ME 04401 | 2013-05-18 |
| 1639432412 | Kathryn Nicole Morin | Physician Assistant | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2012-06-18 |
| 1811180334 | Jessica G Aronowitz | Orthopaedic Surgery | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2007-08-20 |
| 1275757650 | Stephen R Thompson | Orthopaedic Surgery | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2007-04-13 |
| 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 | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096564 | Colby Thomas Toth | Specialist/Technologist | 83 Palmer Rd, Bangor, PA 18013-9204 | 2020-08-31 |
| 1164559316 | John Patrick Ryan | Specialist/Technologist | 885 Broadway, Bangor High School, Bangor, ME 04401-2916 | 2007-02-27 |
| 1184242505 | Lucas C Bartlett | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1255959680 | Amy Curry | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1366060634 | Sara Packard | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1801350095 | Mitchell Anthony Jameson | Specialist/Technologist | 157 Grove St, Bangor, ME 04401-4007 | 2019-01-22 |
| 1871953638 | Cristina Ann Mountain | Specialist/Technologist | 925 Union St, Suite 3, Bangor, ME 04401-3051 | 2016-03-07 |
| 1134596018 | Scott Audet | Specialist/Technologist | 925 Union St, Suite 3, Bangor, ME 04401-3051 | 2015-08-27 |
| 1164829297 | Erica A Marsters | Specialist/Technologist | 925 Union St, Suite 3, Bangor, ME 04401-3051 | 2014-12-04 |
| 1932515095 | Heather Mitchell | Specialist/Technologist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2014-07-09 |
| Find all providers in BANGOR | ||||
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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.