MRS. REBECCA RIDER (NPI# 1073988291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073988291 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA RIDER |
| Credential | PA |
| Practice Address |
302 Husson Ave Ste 2 Bangor ME 04401-3373 |
| Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
| Practice Telephone | 2079472373 |
| Practice Fax Number | 2079418803 |
| Mailing Telephone | (207) 947-6141 |
| Mailing Fax Number | 2079412373 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1577 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
302 HUSSON AVE STE 2 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356380729 | Julie S. Kingsbury | Nurse Practitioner | 302 Husson Ave Ste 2, Bangor, ME 04401-3373 | 2006-06-04 |
| 1659924827 | Stephanie Plasse | Nurse Practitioner | 302 Husson Ave Ste 2, Bangor, ME 04401-3373 | 2019-07-17 |
| 1609314319 | Stephanie Panella | Registered Nurse | 302 Husson Ave Ste 2, Bangor, ME 04401-3373 | 2017-02-02 |
| 1922487412 | Ruta Grebliunaite | Family Medicine | 302 Husson Ave Ste 2, Bangor, ME 04401-3373 | 2015-05-29 |
| 1285013771 | Allison Christine Keith | Family Medicine | 302 Husson Ave Ste 2, Bangor, ME 04401-3373 | 2015-05-29 |
| 1881960458 | Amanda S Collins | Nurse Practitioner | 302 Husson Ave Ste 2, Bangor, ME 04401 | 2012-03-28 |
| 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.