ETHAN SCOTT CARON (NPI# 1932763331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932763331 |
| Entity Type | Individual |
| Full Name | ETHAN SCOTT CARON |
| Credential | PA |
| Practice Address |
992 Union St Bangor ME 04401-3057 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2074048100 |
| Practice Fax Number | 2079470435 |
| Mailing Telephone | 2074048200 |
| Mailing Fax Number | 2079470435 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2097 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 716 Stevens Ave, Portland, ME 041032656 | 2072830171 |
| Street Address |
992 UNION ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721548 | Lisa Carroll | Nurse Practitioner | 992 Union St, Bangor, ME 04401-3057 | 2005-06-21 |
| 1467922070 | Kacie Guerrette | Pharmacist | 992 Union St, Bangor, ME 04401-3057 | 2018-11-27 |
| 1912488412 | Jennifer Marie Cormier | Pharmacist | 992 Union St, Bangor, ME 04401-3057 | 2018-08-23 |
| 1205312659 | Andrew Dinh Tran | Pharmacist | 992 Union St, Bangor, ME 04401-3057 | 2018-07-18 |
| 1336630409 | Alexandra P. Marshall | Audiologist | 992 Union St, Bangor, ME 04401 | 2018-05-24 |
| 1124542386 | Nicole Maher | Physician Assistant | 992 Union St, Bangor, ME 04401-3057 | 2017-07-31 |
| 1477080455 | Thomas M Beebe | Audiologist | 992 Union St, Bangor, ME 04401-3057 | 2017-05-22 |
| 1710345699 | M Morag Robertson | Nurse Practitioner | 992 Union St, Bangor, ME 04401-3057 | 2016-02-05 |
| 1740672831 | Erin Barker | Registered Nurse | 992 Union St, Community Care & Geriatrics, Bangor, ME 04401-3057 | 2015-02-26 |
| 1811387103 | Amelia Hersey | Physician Assistant | 992 Union St, Bangor, ME 04401-3057 | 2015-01-26 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1932647112 | Cory Callahan | Physician Assistant | 417 State St, Suite 340, Bangor, ME 04401 | 2017-02-07 |
| 1437559010 | Shelby June Slauenwhite | Physician Assistant | 489 State St Ste 221, Bangor, ME 04401-6616 | 2014-09-02 |
| 1437242294 | Sunbury Primary Care, P.a. | Physician Assistant | 133 Corporate Drive, Suite 5, Bangor, ME 04401 | 2006-10-02 |
| 1891890166 | John F Cassidy Iv | Physician Assistant | 34 Summer St, Bangor, ME 04401-6446 | 2006-09-13 |
| 1831124338 | Isolde Kissinger | Physician Assistant | 520 Railroad St, Bangor, MI 49013-1490 | 2006-07-12 |
| 1366472847 | Michael Moreau | Physician Assistant | 417 State Street Webber West Suite 340, Bangor, ME 04401-6616 | 2006-07-03 |
| 1104868603 | Karen D Godin | Physician Assistant | 417 State St Ste 400, Penobscot Respiratory, Bangor, ME 04401-6096 | 2006-06-11 |
| 1912976911 | Joseph Harkins | Physician Assistant | 417 State St Ste 121, Bangor, ME 04401-6630 | 2006-03-14 |
| 1932194214 | Shirley E Sanders | Physician Assistant | 555 Railroad St, Bangor, MI 49013-1464 | 2005-09-13 |
| 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.