PIP HIDESTRAND (NPI# 1164698569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164698569 |
| Entity Type | Individual |
| Full Name | PIP HIDESTRAND |
| Other Name | DR. PIP M HUANG |
| Credential | M.D. |
| Practice Address |
417 State St Ste 305 Bangor ME 04401-6654 |
| Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
| Practice Telephone | 2079738585 |
| Practice Fax Number | 2079738817 |
| Mailing Telephone | 2079738885 |
| Mailing Fax Number | 2079738817 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
MD20555 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1164698569 | 05 |
| Street Address |
417 STATE ST STE 305 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356520647 | Thomas Charles Martin | Pediatrics | 417 State St Ste 305, Bangor, ME 04401-6654 | 2007-11-02 |
| 1700229390 | Anna F Henderson | Pediatrics | 417 State St Ste 305, Bangor, ME 04401-6654 | 2013-04-12 |
| 1467770784 | Allison L. Behrle Yardley | Pediatrics | 417 State St Ste 305, Bangor, ME 04401-6654 | 2010-05-11 |
| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356520647 | Thomas Charles Martin | Pediatrics | 417 State St Ste 305, Bangor, ME 04401-6654 | 2007-11-02 |
| 1437364742 | Sean Carlton Hagenbuch | Pediatrics | Pediatric Op Specialty Care- Cardiology, 417 State St Webber East #305, Bangor, ME 04401-6654 | 2007-05-11 |
| 1518192459 | Angela C Gilladoga Md | Pediatrics | 417 State St, Suite 200, Bangor, ME 04401-6630 | 2009-05-21 |
| 1336234897 | Michael Richard Epstein | Pediatrics | 417 State St, Bangor, ME 04401-6630 | 2006-10-03 |
| 1134142227 | Anglea C Gilladoga | Pediatrics | 417 State St, Suite 200, Bangor, ME 04401-6630 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376809707 | Michael Richard Hart | Pediatrics | 71 Us-1, Suite C, Scarborough, ME 04074 | 2012-04-10 |
| 1346311925 | Pediatric Cardiology Assoc Pa | Pediatrics | 71 Us Route 1, Suite C, Scarborough, ME 04074-7173 | 2006-11-13 |
| 1346336880 | Mary Elizabeth Hourihan | Pediatrics | 71 Us Route 1, Suite C, Scarborough, ME 04074-7173 | 2006-10-04 |
| 1023102456 | Jon Patrick Donnelly | Pediatrics | 71 Us Route 1, Suite C, Scarborough, ME 04074-7173 | 2006-10-02 |
| 1295838183 | Richard Carson Mcfaul | Pediatrics | 5 Miles Center Way, Damariscotta, ME 04543 | 2006-09-06 |
| 1255301974 | Adrian M Moran | Pediatrics | 71 Us Route 1, Suite C, Scarborough, ME 04074-7173 | 2006-01-25 |
| 1851370068 | Wade Hamilton | Pediatrics | 12 High St, Ste 301, Lewiston, ME 04240-7634 | 2006-01-16 |
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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.