DAVID CARMACK (NPI# 1467482943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467482943 |
Entity Type | Individual |
Full Name | DAVID CARMACK |
Credential | MD |
Practice Address |
417 State St Suite 340 Webber West Bangor ME 04401-6630 |
Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
Practice Telephone | 2079737000 |
Practice Fax Number | 2079735042 |
Mailing Telephone | 2079735035 |
Mailing Fax Number | 2079735042 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2019-03-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
018773 | ME | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457851420 | David Earl Carmack II | Technician | 9501 W Sahara Ave Apt 2195, Las Vegas, NV 89117-5332 | 2018-02-16 |
1043212889 | David L Carmack | Podiatrist | 200 County Road 340a, Bldg I, Suite A, Burnet, TX 78611-4537 | 2005-08-11 |
Street Address |
417 STATE ST SUITE 340 WEBBER WEST |
City | BANGOR |
State | ME |
Zip Code | 04401-6630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295731131 | David Lawrence Levy | Internal Medicine | 417 State St, Ste 321, Bangor, ME 04401-6638 | 2005-06-24 |
1891304473 | Kristina Lynn Leonard | Nurse Practitioner | 417 State St, Bangor, ME 04401-6630 | 2020-07-29 |
1528558830 | Kelli Megan Nicole Huth | Physician Assistant | 417 State St, Bangor, ME 04401-6630 | 2018-05-11 |
1770005670 | Caitlin Dombrowski | Psychologist | 417 State St, Bangor, ME 04401 | 2017-07-12 |
1497281844 | Jamie Hight | Physician Assistant | 417 State St, Webber East Suite 221, Bangor, ME 04401-6630 | 2017-05-04 |
1255871240 | Courtney Lee Taylor | Nurse Practitioner | 417 State St, Webber East, Suite 421, Bangor, ME 04401-6630 | 2017-02-24 |
1083153977 | Tyler Munro | Physician Assistant | 417 State St, Suite 340, Bangor, ME 04401 | 2017-02-13 |
1457802530 | Carmen Jean Van Dusen | Nurse Practitioner | 417 State St, Suite 330, Bangor, ME 04401-6630 | 2016-10-24 |
1992187199 | Erin Borges | Physician Assistant | 417 State St, Webber West Suite 340, Bangor, ME 04401-6630 | 2015-06-24 |
1750789897 | Dahl Chase Diagnostic Services | Clinical Medical Laboratory | 417 State St, Suite 440, Bangor, ME 04401-6630 | 2014-12-05 |
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 | 207XX0801X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Trauma |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417580754 | Nicholas John Liska | Orthopaedic Surgery | 417 State Street, Suite 340, Webber West, Bangor, ME 04401 | 2020-02-14 |
1306060272 | George N Partal | Orthopaedic Surgery | 417 State Street Webber West Suite 340, Bangor, ME 04401-6616 | 2007-04-12 |
1417988015 | Rajendra Tripathi | Orthopaedic Surgery | 417 State Street Webber West Suite 340, Bangor, ME 04401 | 2006-07-05 |
1033146972 | Richard Bower | Orthopaedic Surgery | 417 State Street, Webber West Suite 340, Bangor, ME 04401 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174515720 | Raymond R White | Orthopaedic Surgery | 335 Brighton Ave, Suite 200, Portland, ME 04103-2362 | 2005-08-19 |
1629182399 | Matthew R Camuso | Orthopaedic Surgery | 335 Brighton Ave, Suite 200, Portland, ME 04103-2362 | 2006-08-18 |
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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.