INSIGHT-PREMIER HEALTH LLC (NPI# 1922655562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922655562 |
| Entity Type | Organization |
| Organization Name | INSIGHT-PREMIER HEALTH LLC |
| Other Organization Name | CENTER FOR DIAGNOSTIC IMAGING |
| Practice Address |
489 State St Ste 100 Bangor ME 04401-6616 |
| Mailing Address |
5775 Wayzata Blvd Ste 500a St Louis Park MN 55416-1222 |
| Practice Telephone | 2079454680 |
| Practice Fax Number | 2079454689 |
| Mailing Telephone | 9529055602 |
| Mailing Fax Number | 9529055697 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | RAMONA L AHERN (SPECIAL ASSISTANT SECRETARY) |
| Authorized Official Telephone | 9527384441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CENTER FOR DIAGNOSTIC IMAGING | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 489 State St, Bangor, ME 044016616 | 2079454680 | 2079454689 |
| 489 State St, Bangor, ME 044016616 | 9527384441 | 9527384746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740563428 | Insight-premier Health LLC | Clinic/Center | 27 Bowdoin Street, Manchester, ME 04351 | 2011-09-20 |
| 1114977337 | Insight-premier Health LLC | Physiological Laboratory | 46 Fairview Ave Ste 100, Skowhegan, ME 04976-1481 | 2006-05-10 |
| 1962468405 | Insight-premier Health LLC | Physiological Laboratory | 11 Medical Center Dr, Ste 1, Brunswick, ME 04011-2690 | 2006-04-24 |
| 1710942875 | Insight-premier Health LLC | Physiological Laboratory | 33 Gorham Rd, Scarborough, ME 04074-9552 | 2006-04-19 |
| 1114456266 | Insight-premier Health LLC | Radiology | 100 Griffin Road, Suite C, Portsmouth, NH 03801-7158 | 2017-06-11 |
| 1861502379 | Insight-premier Health LLC | Physiological Laboratory | 57 Water St, Blue Hill, ME 04614 | 2006-08-30 |
| 1093765208 | Insight-premier Health LLC | Physiological Laboratory | 103 S High St, Bridgton, ME 04009-4101 | 2006-05-10 |
| 1700836913 | Insight-premier Health LLC | Physiological Laboratory | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2006-05-10 |
| 1245280452 | Insight-premier Health LLC | Physiological Laboratory | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2006-05-10 |
| 1497705602 | Insight-premier Health LLC | Physiological Laboratory | 35 Miles St, Damariscotta, ME 04543-4047 | 2006-05-10 |
| Street Address |
489 STATE ST STE 100 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6616 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366840340 | Spectrum Healthcare Partners, P.a. | Radiology | 489 State St, Bangor, ME 04401-6616 | 2014-12-08 |
| 1639577620 | Spectrum Medical Group, P.a. | Radiology | 489 State St, Bangor, ME 04401-6616 | 2014-12-08 |
| 1285078121 | Hussain Ali H Al Khalifah | Radiology | 489 State St, Bangor, ME 04401-6616 | 2013-04-22 |
| 1437592995 | Vasavi Paidpally | Radiology | 489 State St, Bangor, ME 04401-6616 | 2013-04-15 |
| 1578827044 | Hamza Jawad | Radiology | 489 State St, Bangor, ME 04401-6616 | 2012-06-29 |
| 1306135561 | Gurpreet Singh Sandhu | Radiology | 489 State St, Bangor, ME 04401-6616 | 2011-03-28 |
| 1285950725 | Yeang Howe Chng | Radiology | 489 State St, Bangor, ME 04401-6616 | 2010-04-08 |
| 1396904280 | Iftikhar Ahmad | Radiology | 489 State St, Bangor, ME 04401-6616 | 2008-06-05 |
| 1639369150 | Justin J Levine | Radiology | 489 State St, Bangor, ME 04401-6616 | 2007-07-31 |
| 1629299003 | Edward P. Nicholas | Radiology | 489 State St, Bangor, ME 04401-6616 | 2007-05-01 |
| 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.