TYLER LEE JAMISON


Address: 925 Union St Ste 3, Bangor, ME 04401-3051
Phone: 2079747400

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080S0010X Pediatrics
Specialization: Sports Medicine
AT662 ME Allopathic & Osteopathic Physicians

Office Location

Street Address 925 UNION ST STE 3
City BANGOR
State ME
Zip Code 04401-3051

Providers in the same location

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
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NPI Name Taxonomy Address Enumeration
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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 2080S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Sports Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

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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