ROBERT W HAEBERLEIN JR MD PA (NPI# 1235629742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235629742 |
| Entity Type | Organization |
| Organization Name | ROBERT W HAEBERLEIN JR MD PA |
| Practice Address |
700 Mount Hope Ave Ste 601 Bangor ME 04401-5674 |
| Practice Telephone | 2079424653 |
| Practice Fax Number | 2079904795 |
| Mailing Telephone | 2079424653 |
| Mailing Fax Number | 2079904795 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | SHELLIE LYNN WELLS (OFFICE MANAGER) |
| Authorized Official Telephone | 2079424653 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROBERT W HAEBERLEIN MD JR PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD9794 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
700 MOUNT HOPE AVE STE 601 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5674 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104919901 | Robert Wynne Haeberlein Jr. | Dermatology | 700 Mount Hope Avenue Suite 601, Bangor, ME 04401-5600 | 2006-10-02 |
| 1023006194 | Jeffrey Dean Pittis | Dermatology | 90 Ridgewood Dr, Bangor, ME 04401-2652 | 2005-10-12 |
| 1932537800 | Holly Haeberlein | Dermatology | 90 Ridgewood Dr, Bangor, ME 04401-2652 | 2013-10-31 |
| 1861755209 | Samantha Helene Mitchell | Dermatology | 90 Ridgewood Dr, Bangor, ME 04401-2652 | 2012-06-20 |
| 1548567068 | Jaymie Fe Potenciano Panuncialman | Dermatology | 35 State Hospital Dr, Bangor, ME 04401-8816 | 2011-02-18 |
| 1124256029 | Faith Miller Whalen | Dermatology | 90 Ridgewood Dr, Bangor, ME 04401-2652 | 2009-06-30 |
| 1053437780 | Orville Albert Hartford | Dermatology | 90 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-03-22 |
| 1750492930 | William F Gallagher | Dermatology | 1012 Union St, Bangor, ME 04401 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667191 | Morris S Minton Md Faad Pa | Dermatology | 87 Elm St Ste 104a, Camden, ME 04843-1963 | 2019-12-23 |
| 1598063679 | Yoon Cohen | Dermatology | 362 Us Route 1 Ste 5, Falmouth, ME 04105-1353 | 2011-03-14 |
| 1124250584 | Einar Axel Juhlin | Dermatology | 340 Eastern Promenade, Unit 154, Portland, ME 04101-2754 | 2009-08-19 |
| 1093921025 | Jennifer Woodbury Bragg | Dermatology | 50 Sewall Street, Portland, ME 04102 | 2007-05-15 |
| 1952438384 | Elizabeth V Seiverling | Dermatology | 265 Western Ave Ste 1, South Portland, ME 04106-2415 | 2007-02-27 |
| 1871639286 | Julia A Harre | Dermatology | 222 Auburn St Ste 205, Portland, ME 04103-6004 | 2007-01-30 |
| 1750472825 | Joel A Sabean | Dermatology | 350 Cottage Rd, South Portland, ME 04106 | 2006-09-27 |
| 1508831900 | Kathy A Bush | Dermatology | 100 Foden Road West, Suite 100, South Portland, ME 04106 | 2006-02-20 |
| 1467422733 | Intermed Pa | Dermatology | 100 Gannett Dr, Suite C, South Portland, ME 04106-5900 | 2006-01-26 |
| 1013916410 | Nancy Egan | Dermatology | 14 Maine St, Suite 201, Brunswick, ME 04011-2026 | 2005-07-18 |
| Find all providers with the same taxonomy | ||||
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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.