ANGEL A FERNANDEZ SEGURA


Address: 417 State St Ste 121, Bangor, ME 04401-6630
Phone: (207) 973-4266

ANGEL A FERNANDEZ SEGURA (NPI# 1124066154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124066154
Entity Type Individual
Full Name ANGEL A FERNANDEZ SEGURA
Credential MD
Practice Address 417 State St Ste 121
Bangor
ME 04401-6630
Mailing Address 43 Whiting Hill Rd Ste 300
Brewer
ME 04412-1006
Practice Telephone (207) 973-4266
Practice Fax Number 2079735151
Mailing Telephone 2079734266
Mailing Fax Number 2079735151
Enumeration Date 2006-06-03
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
ME129060 FL Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
MD16614 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME 415540099 05
FL 018775500 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4790 Barkley Cir, Bldg. A, Fort Myers, FL 339077593 2392758882 2392751969

Office Location

Street Address 417 STATE ST STE 121
City BANGOR
State ME
Zip Code 04401-6630

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912976911 Joseph Harkins Physician Assistant 417 State St Ste 121, Bangor, ME 04401-6630 2006-03-14
1982243747 Jesse Galovich Physician Assistant 417 State St Ste 121, Bangor, ME 04401-6630 2019-12-26
1679839047 Janese Shade' Laster Internal Medicine 417 State St Ste 121, Bangor, ME 04401-6630 2012-04-10
1033206941 Jean M Larson Internal Medicine 417 State St Ste 121, Bangor, ME 04401-6630 2006-10-10

Providers in the same zip code

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 Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053712984 Philip G. Hunter Internal Medicine 34 Pine Ledge Rd, Bangor, ME 04401-2031 2014-09-10
1033314620 Mira Regina Olson Internal Medicine 700 Mount Hope Ave Ste 430, Bangor, ME 04401 2007-06-15
1699983536 Gastroenterology Associates of Eastern Maine Internal Medicine 210 Evergreen Woods, Bangor, ME 04401-5655 2007-05-21
1235222043 Phillip B Amidon Internal Medicine 417 State Street, Suite 121, Gastroenterology Center of Maine, Bangor, ME 04401 2006-10-02
1558365502 Rajiv Dhingra Internal Medicine 360 Broadway Ste 100, Bangor, ME 04401-3985 2005-06-08
1578189494 Bangor Gastroenterology LLC Internal Medicine 700 Mount Hope Ave Ste 430, Bangor, ME 04401-5677 2020-06-17
1992105043 Angeli Chopra Internal Medicine 358 Broadway, Suite 100, Bangor, ME 04401-3929 2014-08-26
1023350360 Michael Paul Sighinolfi Internal Medicine 360 Broadway Ste 100, Bangor, ME 04401-3985 2013-03-25
1679839047 Janese Shade' Laster Internal Medicine 417 State St Ste 121, Bangor, ME 04401-6630 2012-04-10
1780983205 Anan H Said Internal Medicine 360 Broadway, Suite 100, Bangor, ME 04401 2011-03-23
Find all providers in BANGOR

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City BANGOR
Zip Code 04401

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Dataset Information

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.

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