Ian Noel Tadeo Don S Panuncialman (NPI# 1013190545, PAC ID# 2365687720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1013190545 |
| PAC ID by PECOS | 2365687720 |
| Professional Enrollment ID | I20160606000002 |
| Full Name | Ian Noel Tadeo Don S Panuncialman |
| Organization Legal Name | EASTERN MAINE MEDICAL CENTER |
| Address |
234 State St Brewer ME 04412-1519 |
| Phone Number | 2079890550 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2062315161 |
| Number of Group Practice Members | 562 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200033 | EASTERN MAINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 234 State St, Brewer, ME 04412-1519 | 2079890550 | EASTERN MAINE MEDICAL CENTER |
| Organization Legal Name | EASTERN MAINE MEDICAL CENTER |
| Physicians | 632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen M Van Meter | Nurse Practitioner | Eastern Maine Medical Center | 404 State St, Suite 310, Bangor, ME 04401-6623 |
| Aaron W Barton | Endocrinology | Eastern Maine Medical Center | 885 Union St, Suite 235, Bangor, ME 04401-3096 |
| Katherine P Hintz | Physician Assistant | Eastern Maine Medical Center | 55 Broadway, Suite 2, Bangor, ME 04401-5201 |
| Sverrir I Gunnarsson | Cardiovascular Disease (cardiology) | Eastern Maine Medical Center | 925 Union St, Bangor, ME 04401-3051 |
| Alexandria E Redmond | Nurse Practitioner | Eastern Maine Medical Center | 302 Husson Ave, Bangor, ME 04401-3374 |
| Angela C Tsai | Otolaryngology | Eastern Maine Medical Center | 905 Union St, Bangor, ME 04401-3039 |
| Amanda G Querry | Obstetrics/gynecology | Eastern Maine Medical Center | 489 State St, Bangor, ME 04401-6616 |
| Eddy Karnabi | Cardiovascular Disease (cardiology) | Eastern Maine Medical Center | 895 Union St, Suite 12, Bangor, ME 04401-3054 |
| Deziree D Worster | Nurse Practitioner | Eastern Maine Medical Center | 7 Main Rd N, Northern Light Primary, Hampden, ME 04444-1334 |
| Meghan L Jacques | Physician Assistant | Eastern Maine Medical Center | 1 Northeast Dr, Northern Light Cardiology, Bangor, ME 04401-4332 |
| Street Address |
234 STATE ST |
| City | BREWER |
| State | ME |
| Zip | 04412-1519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arvind C Patel | Family Practice | Eastern Maine Medical Center | 234 State St, Brewer, ME 04412-1519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Lepage | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Deborah A Six | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Simon Sjostedt | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Hali Meehan | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Christina Morris | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Jeffrey Walton | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Carol Lane | Physical Therapy | Results Physical and Occupational Therapy | 797 Wilson St, Brewer, ME 04412-1000 |
| James Castleman | Physical Therapy | Results Physical and Occupational Therapy | 797 Wilson St, Brewer, ME 04412-1000 |
| Maegan L. Woodman | Nurse Practitioner | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Cameron Goller | Nurse Practitioner | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Find all physicians in zip 04412 | |||
| City | BREWER |
| Zip Code | 04412 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BREWER + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Ian Noel Tadeo Don S Panuncialman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.