VERNON TRIP A GARDNER III (NPI# 1184729451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184729451 |
| Entity Type | Individual |
| Full Name | VERNON TRIP A GARDNER III |
| Credential | MD |
| Practice Address |
181 Corporate Dr Bangor ME 04401-4314 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2079922636 |
| Practice Fax Number | 2079922638 |
| Mailing Telephone | 2079455247 |
| Mailing Fax Number | 2079470435 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2019-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 015617 | ME | Behavioral Health & Social Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
015617 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 409660099 | 05 |
| Street Address |
181 CORPORATE DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052157 | Noel Edward Thibodeau | Counselor | 181 Corporate Dr, Bangor, ME 04401-4314 | 2020-01-07 |
| 1790334571 | Joshua Buckmaster D'alessio | Counselor | 181 Corporate Dr, Bangor, ME 04401-4314 | 2019-09-05 |
| 1053960831 | Ann Louise Giggey | Counselor | 181 Corporate Dr, Bangor, ME 04401-4314 | 2019-09-05 |
| 1952680597 | Brandy Daisy Gebo | Counselor | 181 Corporate Dr, Bangor, ME 04401-4314 | 2011-08-14 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168031 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 267 Five Points Richmond Rd, Bangor, PA 18013-5226 | 2020-03-11 |
| 1417582263 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 363 Five Points Richmond Rd, Bangor, PA 18013-5228 | 2020-03-11 |
| 1558996314 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 401 Five Points Richmond Rd, Bangor, PA 18013-5230 | 2020-03-11 |
| 1184259400 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 187 Five Points Richmond Rd, Bangor, PA 18013-5224 | 2020-03-06 |
| 1871785972 | Sehar A Khokher | Psychiatry & Neurology | 288 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401-0000 | 2007-08-13 |
| 1285798207 | Epiphanes Kevork Balian | Psychiatry & Neurology | 45 Hogan Rd, Bangor, ME 04401-5601 | 2006-12-21 |
| 1740356997 | Bangor Psychiatric Associates, Pa | Psychiatry & Neurology | 444 Stillwater Ave Ste 210, Bangor, ME 04401-3500 | 2006-11-28 |
| 1841304193 | Irwin M Pasternak | Psychiatry & Neurology | 112 Franklin St, Bangor, ME 04401-4926 | 2006-08-17 |
| 1154345197 | Timothy Rockcress | Psychiatry & Neurology | 51 Main St # 53, Bangor, ME 04401-6303 | 2006-07-26 |
| 1487694204 | Marjorie Blue Snyder | Psychiatry & Neurology | 277 State St Ste 2a, Bangor, ME 04401-5440 | 2006-06-08 |
| 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.