PENOBSCOT FAMILY FOOT AND ANKLE CENTER (NPI# 1841690377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841690377 |
| Entity Type | Organization |
| Organization Name | PENOBSCOT FAMILY FOOT AND ANKLE CENTER |
| Practice Address |
205 French St Bangor ME 04401-5064 |
| Practice Telephone | 2079455554 |
| Practice Fax Number | 2079455196 |
| Mailing Telephone | 2079455554 |
| Mailing Fax Number | 2079455196 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |
| Authorized Official Name | MS. DIANE MARIA DESANTIS (BILLING MANAGER) |
| Authorized Official Telephone | 7812317026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD1032 | ME | Podiatric Medicine & Surgery Service Providers |
| Street Address |
205 FRENCH ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821141326 | William K Dahl | Podiatrist | 205 French St, Bangor, ME 04401-5064 | 2007-01-19 |
| 1942575345 | Elmer Harold Lommler | Internal Medicine | 205 French St, Bangor, ME 04401-5064 | 2012-03-19 |
| 1740415520 | William K Dahl | Podiatrist | 205 French St, Bangor, ME 04401-5064 | 2009-05-21 |
| 1174712319 | Roy B Corbin Dpm | Podiatrist | 205 French St, Bangor, ME 04401-5064 | 2007-10-23 |
| 1710030226 | Heidi A Brewer | Podiatrist | 205 French St, Bangor, ME 04401-5064 | 2007-01-19 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857807 | Acadia Foot & Ankle, Pa | Podiatrist | 33 Penn Plz Ste A, Bangor, ME 04401-3619 | 2015-12-17 |
| 1144590563 | Kathleen Anne Hope | Podiatrist | 325 Blue Valley Dr, Bangor, PA 18013-1526 | 2012-01-02 |
| 1104138007 | Winston Harper | Podiatrist | 700 Mount Hope Ave Ste 620, Bangor, ME 04401-5671 | 2010-07-08 |
| 1053400804 | Cheralyn Suzanne Perkins | Podiatrist | 325 Blue Valley Dr, Bangor, PA 18013-1526 | 2006-10-12 |
| 1366491938 | Bangor Podiatry LLC | Podiatrist | 325 Blue Valley Dr, Bangor, PA 18013-1526 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528532504 | Foot and Ankle of Augusta Pa | Podiatrist | 3 Saint Catherine St, Augusta, ME 04330-5732 | 2019-01-14 |
| 1568881498 | Samuel M Hall | Podiatrist | 4 Glen Cove Dr Ste 205, Rockport, ME 04856-4237 | 2014-04-08 |
| 1750703849 | Steven Farina | Podiatrist | 163 Van Buren Rd., Caribou, ME 04736-4006 | 2014-01-09 |
| 1689854382 | Kenneth D Warren Jr. | Podiatrist | 2 Berry Ct, Kennebunk, ME 04043-6812 | 2007-11-09 |
| 1508950155 | Olivia Newton | Podiatrist | 5 Abby Rd, Windham, ME 04062-5513 | 2006-10-03 |
| 1437265535 | David Joseph Micca | Podiatrist | 4 Morning Walk Ln, Kennebunk, ME 04043-7786 | 2006-08-22 |
| 1538149471 | Christopher Gerard Pingitore | Podiatrist | 51 Sewall St Ste 2, Portland, ME 04102-2644 | 2006-01-18 |
| 1194705038 | John Henry Dorsey Jr. | Podiatrist | 195 Fore River Parkway, Suite 120, Portland, ME 04102 | 2006-01-18 |
| 1568448272 | Barry M White | Podiatrist | 45 Forest Falls Dr, Yarmouth, ME 04096-6999 | 2005-12-15 |
| 1285624874 | John B Perry | Podiatrist | 1711 Congress St, Portland, ME 04102-1962 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
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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.