PAUL N SMITH (NPI# 1861427692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861427692 |
| Entity Type | Individual |
| Full Name | PAUL N SMITH |
| Credential | M.D. |
| Practice Address |
12 Stillwater Ave Bangor ME 04401-3984 |
| Practice Telephone | 2079456588 |
| Practice Fax Number | 2079452955 |
| Mailing Telephone | 2079456588 |
| Mailing Fax Number | 2079452955 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 016277 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 2285200099 | 05 | |
| ME | IRS TAXPAYER ID NUMBER | 020706512 | 01 |
| ME | AETNA | 0004661923 | 01 |
| ME | ANTHEM BLUE SHIELD | 060976 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114555315 | Paul Smith | Counselor | 5180 Roswell Rd, Atlanta, GA 30342-2293 | 2020-04-01 |
| 1861982647 | Paul Smith | Physical Therapy Assistant | 314 S South St Ste 200, Mount Airy, NC 27030-4599 | 2018-05-16 |
| 1639675606 | Paul Robert Smith | Registered Nurse | 357 Pismo St Apt F, San Luis Obispo, CA 93401-6141 | 2018-03-30 |
| 1245694785 | Paul Smith | Hearing Instrument Specialist | 1275 E Pierce St, Council Bluffs, IA 51503-4748 | 2016-04-11 |
| 1639515364 | Paul Joseph Smith | Psychiatry & Neurology | 12520 High Bluff Dr Ste 135, San Diego, CA 92130 | 2013-05-21 |
| 1306112503 | Paul Smith | Rehabilitation Practitioner | 2941 E 94th Pl, Tulsa, OK 74137-8723 | 2012-04-02 |
| 1073804100 | Paul Anthony Smith | Physical Therapy Assistant | 4828 College Lake Dr, Florence, SC 29506-8900 | 2011-04-24 |
| 1942522529 | Paul Albert Smith | Physical Therapist | 330 Grandview Dr, Lander, WY 82520-2904 | 2010-02-23 |
| 1548495625 | Paul G Smith | Chiropractor | 8785 W Warm Springs Road, Suite 109, Las Vegas, NV 89148-1823 | 2009-05-19 |
| 1588812200 | Paul Corby Smith | Psychologist | 1163 10th St, Martin, MI 49070-9722 | 2008-09-06 |
| Street Address |
12 STILLWATER AVE |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538129804 | Sandra Jean Wardwell | Nurse Practitioner | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2006-03-23 |
| 1245858638 | Saker Ghanayem | Physical Therapist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2020-07-11 |
| 1154973865 | Kristina Buck | Physical Therapist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2019-07-12 |
| 1972047470 | Elizabeth Laura Stevens | Denturist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2016-12-19 |
| 1467996330 | Gary Boudreau | Denturist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2016-12-13 |
| 1740731470 | David C Haluska Dmd Pllc | Dentist | 12 Stillwater Ave, Suite 6, Bangor, ME 04401-3984 | 2016-10-18 |
| 1912365727 | Raylene D Jernigan | Advanced Practice Midwife | 12 Stillwater Ave, Suite 1, Bangor, ME 04401-3984 | 2016-02-08 |
| 1205231651 | Paul N Smith Md, Pa | Specialist | 12 Stillwater Ave, Suite 1, Bangor, ME 04401-3984 | 2014-10-28 |
| 1932515095 | Heather Mitchell | Specialist/Technologist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2014-07-09 |
| 1679902076 | Erika Jeanne Beckwith | Physical Therapist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2013-11-06 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053724757 | Alec Anderson | Obstetrics & Gynecology | 417 State Stree, Webber West Suite 141, Bangor, ME 04401 | 2014-06-10 |
| 1891113353 | Intercare Community Health Network | Obstetrics & Gynecology | 50 Indusstrial Park Road, Bangor, MI 49013-1246 | 2014-04-02 |
| 1356548168 | Christopher Alan Rumsey | Obstetrics & Gynecology | 700 Mount Hope Ave Ste 480, Bangor, ME 04401-5659 | 2007-06-27 |
| 1831125301 | Veronica L Vas | Obstetrics & Gynecology | 50 Industrial Park Rd, Bangor, MI 49013-1246 | 2006-06-24 |
| 1568012912 | Christopher A. Rumsey, D.o., P.a. | Obstetrics & Gynecology | 700 Mount Hope Ave Ste 480, Bangor, ME 04401-5659 | 2019-09-18 |
| 1679983621 | Kara Smythe | Obstetrics & Gynecology | 417 State St, Webber West Suite 141, Bangor, ME 04401-6630 | 2014-04-29 |
| 1033470414 | Farbod Nabizadeh | Obstetrics & Gynecology | 12 Stillwater Ave, Unit 1, Bangor, ME 04401-3984 | 2012-06-02 |
| 1558510792 | James Athanasius Macdonald V | Obstetrics & Gynecology | 417 State St, Webber West, Suite 141, Bangor, ME 04401-6630 | 2008-09-11 |
| 1386844702 | Garrick James Slate | Obstetrics & Gynecology | 417 State St, Suite 141, Bangor, ME 04401-6630 | 2007-07-24 |
| 1487771283 | Acadia Ob-gyn Associates, P.a. | Obstetrics & Gynecology | 68 Mount Hope Ave, Suite 3, Bangor, ME 04401-4096 | 2007-03-25 |
| 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.