SADIE AUSTIN


Address: 360 Broadway, Bangor, ME 04401-3900
Phone: 2079071000

SADIE AUSTIN (NPI# 1346802170) 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) 1346802170
Entity Type Individual
Full Name SADIE AUSTIN
Credential PA-C
Practice Address 360 Broadway
Bangor
ME 04401-3900
Mailing Address C/o St Marys Health System - Provider Enrollment
Po Box 7291
Lewiston
ME 04243-7291
Practice Telephone 2079071000
Mailing Telephone 2077778560
Mailing Fax Number 2077778800
Enumeration Date 2019-07-02
Last Update Date 2019-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA1958 ME Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
360 Broadway, Bangor, ME 044013900 2079071000

Office Location

Street Address 360 BROADWAY
City BANGOR
State ME
Zip Code 04401-3900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154321545 St. Joseph Hospital General Acute Care Hospital 360 Broadway, Bangor, ME 04401-3979 2005-07-28
1386202794 Ashley Gott Haase Physical Therapist 360 Broadway, Bangor, ME 04401-3979 2019-05-31
1992286546 Royce Blackwood Physician Assistant 360 Broadway, Bangor, ME 04401-3979 2018-08-22
1609356559 Casey Marie Northup Pharmacy Technician 360 Broadway, Bangor, ME 04401-3900 2018-08-20
1407332869 Sara Winings Pharmacist 360 Broadway, Bangor, ME 04401-3979 2018-07-18
1811489156 Sandra Bartlett Pharmacist 360 Broadway, Bangor, ME 04401-3979 2018-06-02
1366999534 Eliza Sharma Internal Medicine 360 Broadway, Bangor, ME 04401-3900 2016-09-06
1871946731 Katelyn Hopper Anesthesiology 360 Broadway, Bangor, ME 04401-3979 2016-07-15
1790139459 Stephen Calabrese Anesthesiology 360 Broadway, Bangor, ME 04401-3979 2016-04-19
1083073480 Jesse Knowlton Nurse Anesthetist, Certified Registered 360 Broadway, Bangor, ME 04401-3900 2016-02-15
Find all providers in the same location

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 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1932647112 Cory Callahan Physician Assistant 417 State St, Suite 340, Bangor, ME 04401 2017-02-07
1437559010 Shelby June Slauenwhite Physician Assistant 489 State St Ste 221, Bangor, ME 04401-6616 2014-09-02
1437242294 Sunbury Primary Care, P.a. Physician Assistant 133 Corporate Drive, Suite 5, Bangor, ME 04401 2006-10-02
1891890166 John F Cassidy Iv Physician Assistant 34 Summer St, Bangor, ME 04401-6446 2006-09-13
1831124338 Isolde Kissinger Physician Assistant 520 Railroad St, Bangor, MI 49013-1490 2006-07-12
1366472847 Michael Moreau Physician Assistant 417 State Street Webber West Suite 340, Bangor, ME 04401-6616 2006-07-03
1104868603 Karen D Godin Physician Assistant 417 State St Ste 400, Penobscot Respiratory, Bangor, ME 04401-6096 2006-06-11
1912976911 Joseph Harkins Physician Assistant 417 State St Ste 121, Bangor, ME 04401-6630 2006-03-14
1932194214 Shirley E Sanders Physician Assistant 555 Railroad St, Bangor, MI 49013-1464 2005-09-13
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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