SCOTT D SHULMAN (NPI# 1770557316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770557316 |
| Entity Type | Individual |
| Full Name | SCOTT D SHULMAN |
| Credential | MD |
| Practice Address |
358 Broadway Suite 306 Bangor ME 04401-3929 |
| Mailing Address |
Po Box 934 Bangor ME 04402-0934 |
| Practice Telephone | 2079073660 |
| Practice Fax Number | 2079073661 |
| Mailing Telephone | 2079073339 |
| Mailing Fax Number | 2079071214 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2018-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD17268 | ME | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 57645 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM BLUE SHIELD | 098569 | 01 |
| ME | CIGNA | 1951774 | 01 |
| ME | 432392399 | 05 | |
| ME | AETNA | 7327731 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669424073 | Scott J. Shulman | Internal Medicine | 1110 W Peachtree St Nw Ste 1100, Atlanta, GA 30309-3609 | 2006-05-16 |
| Street Address |
358 BROADWAY SUITE 306 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881679116 | Bangor Surgical Associates, P.a. | Surgery | 358 Broadway, Suite 306, Bangor, ME 04401-3929 | 2005-12-09 |
| 1992105043 | Angeli Chopra | Internal Medicine | 358 Broadway, Suite 100, Bangor, ME 04401-3929 | 2014-08-26 |
| 1639453954 | Surapaneni Ramanadharao Mdpa | Urology | 358 Broadway, Suite 207, Bangor, ME 04401-3929 | 2011-10-05 |
| 1659651214 | Jason Bourque | Orthopaedic Surgery | 358 Broadway, Suite 202, Bangor, ME 04401-3985 | 2011-08-26 |
| 1538276993 | John J Mcdevitt Iv | Internal Medicine | 358 Broadway, Suite 100, Bangor, ME 04401-3929 | 2006-08-23 |
| 1235187204 | Hatem T Shoukeir | Internal Medicine | 358 Broadway, Suite 100, Bangor, ME 04401-3929 | 2006-05-04 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104055086 | Roople Kiran Unia | Psychiatry & Neurology | 498 Essex St Ste 105, Bangor, ME 04401-3990 | 2009-07-13 |
| 1538535596 | Bakhtier Nurmukhamedov | Psychiatry & Neurology | 498 Essex St Ste 105, Bangor, ME 04401-3990 | 2015-08-13 |
| 1942632880 | Wisam Elfatih Elmalik | Psychiatry & Neurology | 498 Essex St Ste 105, Bangor, ME 04401-3990 | 2013-08-02 |
| 1417399528 | Tarek Wazzan | Psychiatry & Neurology | 489 State St, Neurodiagnostic Dept, Bangor, ME 04401-6616 | 2013-07-18 |
| 1801140660 | Spectrum Medical Group, P.a. | Psychiatry & Neurology | 498 Essex St, Suite 105, Bangor, ME 04401-3990 | 2012-11-01 |
| 1467735050 | Muhammad Ateeq Arshad | Psychiatry & Neurology | 498 Essex St Ste 105, Bangor, ME 04401-3990 | 2011-09-21 |
| 1316225923 | Suzanne Bourque | Psychiatry & Neurology | 498 Essex St, Suite 105, Bangor, ME 04401-3990 | 2011-07-31 |
| 1346439767 | Sally E K Kirkpatrick | Psychiatry & Neurology | 498 Essex St, Bangor, ME 04401-3990 | 2007-10-22 |
| 1093900441 | Mirna Hajjar | Psychiatry & Neurology | 498 Essex St, Suite 105, Bangor, ME 04401-3990 | 2007-09-10 |
| 1922292945 | Markos Poulopoulos | Psychiatry & Neurology | 498 Essex St, Suite 105, Bangor, ME 04401-3990 | 2007-09-03 |
| 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.