ANGELA WAKEFIELD MICHALKA


Address: 417 State St Ste 421, Bangor, ME 04401-6639
Phone: 2079735293

ANGELA WAKEFIELD MICHALKA (NPI# 1750716213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750716213
Entity Type Individual
Full Name ANGELA WAKEFIELD MICHALKA
Credential PA-C
Practice Address 417 State St Ste 421
Bangor
ME 04401-6639
Mailing Address 43 Whiting Hill Rd Ste 300
Brewer
ME 04412-1006
Practice Telephone 2079735293
Mailing Telephone 2079735000
Mailing Fax Number 2079735042
Enumeration Date 2013-09-03
Last Update Date 2020-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA1424 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 417 STATE ST STE 421
City BANGOR
State ME
Zip Code 04401-6639

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457337172 John Dean Klemperer Thoracic Surgery (Cardiothoracic Vascular Surgery) 417 State St Ste 421, Bangor, ME 04401-6639 2005-12-15
1205324415 Ashley Eileen Sirois Thoracic Surgery (Cardiothoracic Vascular Surgery) 417 State St Ste 421, Bangor, ME 04401-6639 2018-04-24
1356852719 Issac Pena-renteria Physician Assistant 417 State St Ste 421, Bangor, ME 04401-6639 2017-10-12
1912417817 Kathleen R Marcoux Thoracic Surgery (Cardiothoracic Vascular Surgery) 417 State St Ste 421, Bangor, ME 04401-6639 2017-10-05
1104169663 Alysn D. Healy Physician Assistant 417 State St Ste 421, Bangor, ME 04401-6639 2013-04-03
1134417462 David Pantino Thoracic Surgery (Cardiothoracic Vascular Surgery) 417 State St Ste 421, Bangor, ME 04401 2011-07-20
1225329840 Jamie M Eridon Surgery 417 State St Ste 421, Bangor, ME 04401-6639 2011-04-30
1528395720 Darci R Bubar Nurse Practitioner 417 State St Ste 421, Bangor, ME 04401-6639 2009-11-09
1497080055 Mohammed Jawad Latif Thoracic Surgery (Cardiothoracic Vascular Surgery) 417 State St Ste 421, Bangor, ME 04401-6639 2009-10-14
1437217569 Terrie Leanne Taylor Nurse Practitioner 417 State St Ste 421, Bangor, ME 04401-6639 2006-12-04
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1548259211 Corianne L O'donnell Physician Assistant 103 Skyline Rd, Bangor, ME 04401-2158 2005-10-17
1497751812 Nelson E Meaker Physician Assistant 133 Corporate Dr Ste 5, Bangor, ME 04401-4312 2005-06-21
1356956239 Amanda Roberts Physician Assistant 489 State St, Bangor, ME 04401-6674 2020-09-09
1710521950 Allison Rose Bassam Harb Physician Assistant 931 Union St, Bangor, ME 04401-3011 2019-10-31
1306323613 Ameena Fauq Physician Assistant 1 Northeast Dr, Bangor, ME 04401-4332 2018-07-20
1588140347 Brandy Eldridge Physician Assistant 55 Broadway, Bangor, ME 04401-5201 2018-07-16
1891289963 Benjamin Schmidt Physician Assistant 489 State St, Bangor, ME 04401-6616 2018-06-21
1528558830 Kelli Megan Nicole Huth Physician Assistant 417 State St, Bangor, ME 04401-6630 2018-05-11
1952845638 Nikolaus Thomas Hurley Physician Assistant 1 Northeast Dr, Bangor, ME 04401-4332 2016-12-14
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Competitor

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City BANGOR
Zip Code 04401

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Dataset Information

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.

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