AMEENA FAUQ (NPI# 1306323613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306323613 |
| Entity Type | Individual |
| Full Name | AMEENA FAUQ |
| Credential | PA-C |
| Practice Address |
1 Northeast Dr Bangor ME 04401-4332 |
| Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
| Practice Telephone | 9045366626 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1844 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 NORTHEAST DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760453344 | Peter N Ver Lee | Internal Medicine | 1 Northeast Dr, Bangor, ME 04401-4332 | 2006-01-31 |
| 1821632738 | Amelia Louise Mank | Nurse Practitioner | 1 Northeast Dr, Bangor, ME 04401-4332 | 2019-11-04 |
| 1780244434 | Hannah Cavaleri | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2019-06-15 |
| 1306400700 | Lindy May Thomas | Internal Medicine | 1 Northeast Dr, Bangor, ME 04401-4332 | 2019-05-01 |
| 1922564335 | Lauren Mcdowell Carlson Dooley | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2019-02-11 |
| 1457822611 | Carrie Anne Mercier | Nurse Practitioner | 1 Northeast Dr, Bangor, ME 04401-4332 | 2018-12-16 |
| 1477048734 | Julie Joan Eastman | Nurse Practitioner | 1 Northeast Dr, Bangor, ME 04401 | 2018-06-28 |
| 1952845638 | Nikolaus Thomas Hurley | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2016-12-14 |
| 1083164933 | Brandi Lyon | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2016-10-04 |
| 1235503475 | Sean J Farley | Registered Nurse | 1 Northeast Dr, Bangor, ME 04401-4332 | 2015-11-28 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1548259211 | Corianne L O'donnell | Physician Assistant | 103 Skyline Rd, Bangor, ME 04401-2158 | 2005-10-17 |
| 1497751812 | Nelson E Meaker | Physician Assistant | 133 Corporate Dr Ste 5, Bangor, ME 04401-4312 | 2005-06-21 |
| 1356956239 | Amanda Roberts | Physician Assistant | 489 State St, Bangor, ME 04401-6674 | 2020-09-09 |
| 1710521950 | Allison Rose Bassam Harb | Physician Assistant | 931 Union St, Bangor, ME 04401-3011 | 2019-10-31 |
| 1588140347 | Brandy Eldridge | Physician Assistant | 55 Broadway, Bangor, ME 04401-5201 | 2018-07-16 |
| 1891289963 | Benjamin Schmidt | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2018-06-21 |
| 1528558830 | Kelli Megan Nicole Huth | Physician Assistant | 417 State St, Bangor, ME 04401-6630 | 2018-05-11 |
| 1952845638 | Nikolaus Thomas Hurley | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2016-12-14 |
| 1083164933 | Brandi Lyon | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2016-10-04 |
| 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.