DR. DAVID MASON HALLBERT (NPI# 1528023702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528023702 |
| Entity Type | Individual |
| Full Name | DR. DAVID MASON HALLBERT |
| Credential | MD |
| Practice Address |
302 Husson Ave Suite 1 Bangor ME 04401-3374 |
| Mailing Address |
43 Whiting Hill Rd Suite 300 Brewer ME 04412-1005 |
| Practice Telephone | 2079476141 |
| Practice Fax Number | 2079476720 |
| Mailing Telephone | 2079476141 |
| Mailing Fax Number | 2079476720 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2016-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD11072 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 338120099 | 05 |
| Street Address |
302 HUSSON AVE SUITE 1 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629590484 | Paul Jeffrey Jurgens | Family Medicine | 302 Husson Ave, Bangor, ME 04401-3374 | 2017-07-13 |
| 1013442722 | Alexandria Elizabeth Redmond | Nurse Practitioner | 302 Husson Ave, #2, Bangor, ME 04401-3374 | 2017-05-01 |
| 1629511969 | Amanda Nichole Milliken | Registered Nurse | 302 Husson Ave, Suite 1, Bangor, ME 04401 | 2016-11-18 |
| 1255703526 | Jessica L Macphail | Nurse Practitioner | 302 Husson Ave, Suite 2, Bangor, ME 04401-3374 | 2015-10-27 |
| 1871909622 | Regina Ann Blauvelt | Nurse Practitioner | 302 Husson Ave, Suite 1, Bangor, ME 04401-3374 | 2014-07-01 |
| 1750724936 | Margaret Hull Chapin | Nurse Practitioner | 302 Husson Ave, Suite 1, Bangor, ME 04401-3374 | 2013-04-08 |
| 1588900237 | Brandy Cb George | Nurse Practitioner | 302 Husson Ave, Suite 2, Bangor, ME 04401-3374 | 2012-12-28 |
| 1255458956 | Manika Thakur | Family Medicine | 302 Husson Ave, Suite 1, Bangor, ME 04401-3374 | 2007-03-26 |
| 1922148071 | Teresa Tolson Malmer | Pediatrics | 302 Husson Ave, Bangor, ME 04401 | 2007-02-07 |
| 1497785943 | Elizabeth H Frederick | Nurse Practitioner | 302 Husson Ave, Suite 1, Bangor, ME 04401-3374 | 2006-07-03 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629598941 | Sunam M Sujanani | Internal Medicine | 489 State Street Kelley 6, Bangor, ME 04401 | 2017-06-27 |
| 1881802957 | Leonidas Tzogias | Internal Medicine | One Northeast Dr, Northeast Cardiology Associates, Bangor, ME 04401 | 2007-05-20 |
| 1053324293 | Carolyn Alice Wilson | Internal Medicine | 304 Hancock St, Bangor Va Clinic, Bangor, ME 04401 | 2006-08-15 |
| 1629025093 | Robert Francis Mcevoy | Internal Medicine | 125 S 1st St, Bangor, PA 18013-2615 | 2006-05-30 |
| 1770564585 | Meredith L Todd | Internal Medicine | 900 Broadway Bldg 5, Bangor, ME 04401-1900 | 2005-11-09 |
| 1104819598 | Hans Albert Holzwarth | Internal Medicine | 336 Mount Hope Ave, Ste 11, Bangor, ME 04401-4236 | 2005-08-31 |
| 1083607253 | James J Nakashima | Internal Medicine | 900 Broadway, Bangor, ME 04401-1900 | 2005-08-23 |
| 1730732264 | Kymberly Susan Hunter | Internal Medicine | 302 Husson Ave Ste 1, Bangor, ME 04401-3373 | 2019-07-23 |
| 1003335670 | Fnu Kaleemullah | Internal Medicine | 489 State St, Bangor, ME 04401-6674 | 2017-09-14 |
| 1215451984 | Aye Su Myat Hlaing | Internal Medicine | 489 State St, Bangor, ME 04401-6616 | 2017-08-03 |
| 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.