SUNBURY PRIMARY CARE, P.A. (NPI# 1972682656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972682656 |
| Entity Type | Organization |
| Organization Name | SUNBURY PRIMARY CARE, P.A. |
| Other Organization Name | HAMPDEN FAMILY MEDICINE |
| Practice Address |
21 Western Ave Hampden ME 04444-1422 |
| Mailing Address |
Po Box 921 Bangor ME 04402-0921 |
| Practice Telephone | 2078623430 |
| Practice Fax Number | 2078623433 |
| Mailing Telephone | 2079900864 |
| Mailing Fax Number | 2079905586 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | DAVID L SAVELL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2079427650 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNBURY PRIMARY CARE, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 124740003 | 05 |
| Other Name | Type Code |
|---|---|
| Hampden Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629225750 | Sunbury Primary Care, P.a. | Family Medicine | 2370 Route 2, Hermon, ME 04401-0622 | 2008-08-20 |
| 1689743080 | Sunbury Primary Care, P.a. | Nurse Practitioner | Rt 2 Main Rd, Carmel, ME 04419 | 2006-11-07 |
| 1679668180 | Sunbury Primary Care, P.a. | Clinic/Center | 775 N Main Rd, Winterport, ME 04496 | 2006-10-03 |
| 1437242294 | Sunbury Primary Care, P.a. | Physician Assistant | 133 Corporate Drive, Suite 5, Bangor, ME 04401 | 2006-10-02 |
| 1487906541 | Sunbury Primary Care, P.a. | Family Medicine | 133 Corporate Dr, Suite 4, Bangor, ME 04401-4312 | 2012-10-12 |
| 1124278684 | Sunbury Primary Care, P.a. | Preventive Medicine | 133 Corporate Dr, Suite 4, Bangor, ME 04401-4312 | 2008-09-22 |
| 1508939398 | Sunbury Primary Care, P.a. | Physician Assistant | 133 Corporate Dr, Suite 1, Bangor, ME 04401-4312 | 2006-11-17 |
| 1205915899 | Sunbury Primary Care, P.a. | Nurse Practitioner | 291 Main St, Orono, ME 04473-3439 | 2006-11-03 |
| 1164501748 | Sunbury Primary Care, P.a. | Family Medicine | 329 Wilson St, Brewer, ME 04412-1504 | 2006-11-03 |
| 1538248141 | Sunbury Primary Care, P.a. | Podiatrist | 900 Broadway, Building 1, Bangor, ME 04401-1900 | 2006-11-03 |
| Street Address |
21 WESTERN AVE |
| City | HAMPDEN |
| State | ME |
| Zip Code | 04444-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851300255 | Kathy Bouton Semmel | Physician Assistant | 21 Western Ave, Hampden, ME 04444-1422 | 2006-08-05 |
| 1346503711 | Aaron Seth Karmes | Family Medicine | 21 Western Ave, Hampden, ME 04444-1422 | 2012-06-20 |
| 1295046597 | Danielle Doyon | Physician Assistant | 21 Western Ave, Hampden, ME 04444-1422 | 2010-07-01 |
| 1669577938 | John L Patten | Family Medicine | 21 Western Ave, Hampden, ME 04444 | 2006-09-13 |
| 1639188758 | Darla Nadine Cameron | Nurse Practitioner | 21 Western Ave, Hampden, ME 04444-1422 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669922258 | Kenneth Ingalls IIi | Physical Therapist | 11 Main Rd N, Hampden, ME 04444 | 2016-10-07 |
| 1841605557 | Alisa Renee Wing | Psychologist | 28a Main Road South, Hampden, ME 04444 | 2014-06-23 |
| 1629376470 | Kristyn Harriman Smith | Counselor | 25 Mayo Road, Hampden, ME 04444 | 2011-03-03 |
| 1639381775 | Regional School Unit No 22 | Local Education Agency (LEA) | 24 Main Road North, Hampden, ME 04444 | 2007-05-03 |
| 1700968153 | Deborah B Baker | Chiropractor | 638 Main Road North, Hampden, ME 04444 | 2006-10-19 |
| 1770695900 | Diana L. Prescott | Psychologist | 108 B Main Road South, Hampden Psychological Consultation, Pllc, Hampden, ME 04444 | 2006-09-01 |
| 1154817419 | Ashley Peabody | Physical Therapist | 11 Main Rd North, Hampden, ME 04444 | 2018-07-10 |
| 1851608251 | Erin Cara Lachance | Physical Therapist | 11 Main Road North, Hampden, ME 04444 | 2010-09-07 |
| 1396057824 | Lauren A Murray | Occupational Therapist | 177 Coldbrook Rd, Hampden, ME 04444 | 2010-07-13 |
| 1770718876 | Hampden Psychological Consultation, Pllc | Psychologist | 108 B Main Road South, Hampden Psychological Consultation, Pllc, Hampden, ME 04444 | 2009-05-19 |
| Find all providers in zip 04444 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992734164 | Penobscot Community Health Care | Family Medicine | 177 Coldbrook Road, Hampden, ME 04444-0000 | 2006-07-01 |
| 1790725497 | Leigh J Forbush | Family Medicine | 603 Main Rd N, Hampden, ME 04444-1804 | 2006-06-08 |
| 1346503711 | Aaron Seth Karmes | Family Medicine | 21 Western Ave, Hampden, ME 04444-1422 | 2012-06-20 |
| 1881993475 | Kristopher L O'connell | Family Medicine | 7 Main Rd N, Hampden, ME 04444-1334 | 2011-03-22 |
| 1083913735 | Sarah Jean Crane | Family Medicine | 7 Main Rd N, Hampden, ME 04444-1334 | 2011-03-21 |
| 1508091489 | Mamatha Sirivol | Family Medicine | 7 Main Rd N, Hampden, ME 04444-1334 | 2009-05-21 |
| 1578729745 | Michael Alan Ripley | Family Medicine | 7 Main Rd N, Hampden, ME 04444-1334 | 2008-08-06 |
| 1699975078 | Osteopathic Center for Family Medicine, LLC | Family Medicine | 603 Main Rd N, Hampden, ME 04444-1804 | 2007-07-23 |
| 1669577938 | John L Patten | Family Medicine | 21 Western Ave, Hampden, ME 04444 | 2006-09-13 |
| 1508806373 | Daniel Cole Gott | Family Medicine | 7 Main Rd N, Hampden, ME 04444-1334 | 2006-06-08 |
| Find all providers in HAMPDEN | ||||
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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.