KRISTEN S MARTIN (NPI# 1962507236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962507236 |
| Entity Type | Individual |
| Full Name | KRISTEN S MARTIN |
| Other Name | KRISTEN L SOUWEINE |
| Credential | DO |
| Practice Address |
6 Telcom Dr Bangor ME 04401-3072 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2079470147 |
| Practice Fax Number | 2079903365 |
| Mailing Telephone | 2079455247 |
| Mailing Fax Number | 2079470435 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 1959 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 432302699 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912448622 | Kristen Martin | Nurse Practitioner | 400 Unicorn Park Dr, 4th Floor, Woburn, MA 01801-3365 | 2017-03-14 |
| 1134551740 | Kristen Holmes Martin | Doula | 20 Laurel Creek Ln, Laguna Hills, CA 92653-4472 | 2013-08-06 |
| 1104119502 | Kristen Michelle Martin | Speech-Language Pathologist | 3909 Cedar Ridge Ln, Carrollton, TX 75007-1119 | 2011-05-18 |
| 1659603488 | Kristen Leigh Martin | Occupational Therapist | 6520 Manassas Dr, Pewee Valley, KY 40056-9060 | 2010-02-04 |
| 1386663003 | Kristen Hedger Martin | Family Medicine | 286 Stage Rd, Charlton, NY 12019-2619 | 2006-07-19 |
| 1811543697 | Kristen Jean Martin | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2019-08-16 |
| 1780230680 | Kristen Ashley Martin | Physical Therapist | 325 Folly Rd Ste 107, Charleston, SC 29412-2507 | 2019-08-15 |
| 1710546973 | Kristen Marie Martin | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2019-06-11 |
| 1548765035 | Kristen Roseanne Martin | Counselor | 401 E Mcmillan St, Cincinnati, OH 45206-1922 | 2018-03-27 |
| 1053829382 | Kristen Martin | Behavior Technician | 12 Monument Dr, Stafford, VA 22554-8508 | 2018-01-22 |
| Street Address |
6 TELCOM DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396708459 | Donna M. Cotton | Nurse Practitioner | 6 Telcom Dr, Bangor, ME 04401-3072 | 2006-04-10 |
| 1871106047 | Carla Marie White | Audiologist | 6 Telcom Dr, Bangor, ME 04401-3072 | 2020-08-28 |
| 1982242426 | Michelle Lee Graves | Nurse Practitioner | 6 Telcom Dr, Bangor, ME 04401-3072 | 2019-12-16 |
| 1154972461 | Noelle Christine Braley | Nurse Practitioner | 6 Telcom Dr, Bangor, ME 04401-3072 | 2019-09-27 |
| 1164913117 | Kathryn Anne Foley | Nurse Practitioner | 6 Telcom Dr, Bangor, ME 04401-3072 | 2018-05-25 |
| 1922483973 | Sydney Kotredes | Nurse Practitioner | 6 Telcom Dr, Bangor, ME 04401-3072 | 2015-07-20 |
| 1124408059 | Morgan Frances Benter | Physician Assistant | 6 Telcom Dr, Bangor, ME 04401-3072 | 2015-06-05 |
| 1245650605 | Aimee Jordan Beaton | Pediatrics | 6 Telcom Dr, Bangor, ME 04401-3072 | 2014-04-23 |
| 1801235023 | Penobscot Community Health Center | Clinic/Center | 6 Telcom Dr, Bangor, ME 04401-3072 | 2013-06-20 |
| 1194062901 | Karen L. Gardner | Counselor | 6 Telcom Dr, Bangor, ME 04401-3072 | 2013-01-14 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346465721 | Mary Ellen Defranco | Pediatrics | 316 Washington Blvd, Bangor, PA 18013-2700 | 2007-04-13 |
| 1083781264 | Shannon M Marchegiani | Pediatrics | Nicu Professional Services, Kelley 6, 489 State Street, Bangor, ME 04401 | 2006-11-30 |
| 1699768291 | Maggy Lespinasse | Pediatrics | 1068 Union St, Bangor, ME 04401-3016 | 2005-08-30 |
| 1033641386 | Kate Alina Hentschel | Pediatrics | 133 Corporate Dr, Bangor, ME 04401-4312 | 2017-03-28 |
| 1245650605 | Aimee Jordan Beaton | Pediatrics | 6 Telcom Dr, Bangor, ME 04401-3072 | 2014-04-23 |
| 1598108755 | Daria Leigh Thompson | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2013-04-08 |
| 1326281817 | Brooke B Surran | Pediatrics | 133 Corporate Dr, 1st Floor, Bangor, ME 04401-4312 | 2009-04-13 |
| 1093957516 | Annie Eisinger Powers | Pediatrics | 133 Corporate Dr, Bangor, ME 04401-4312 | 2009-03-30 |
| 1700025624 | Ellen F. Lauer | Pediatrics | 6 Telcom Dr, Bangor, ME 04401-3072 | 2009-02-17 |
| 1023270980 | Chelsea Jean Swandal | Pediatrics | 133 Corporate Dr, Bangor, ME 04401-4312 | 2008-07-01 |
| 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.