TYLER LEE JAMISON (NPI# 1831668342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831668342 |
Entity Type | Individual |
Full Name | TYLER LEE JAMISON |
Credential | ATC |
Practice Address |
925 Union St Ste 3 Bangor ME 04401-3051 |
Mailing Address |
66 Charles St Bangor ME 04401-4651 |
Practice Telephone | 2079747400 |
Mailing Telephone | 2075925580 |
Enumeration Date | 2018-11-14 |
Last Update Date | 2018-11-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
AT662 | ME | Allopathic & Osteopathic Physicians |
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 |
1710505144 | Jacob Lee Powell | 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 |
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 | 2080S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Sports Medicine |
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932547668 | Christine Bender | Pediatrics | 74 Baribeau Dr, Brunswick, ME 04011-3218 | 2013-06-04 |
1063672228 | Katherine Rutherford | Pediatrics | 331 Veranda St, Portland, ME 04103-5545 | 2008-06-11 |
1114952991 | Lucien R. Ouellette | Pediatrics | 33 Sewall St, Portland, ME 04102-2603 | 2006-07-11 |
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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.