GEOFFREY M GRATWICK (NPI# 1538185293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538185293 |
| Entity Type | Individual |
| Full Name | GEOFFREY M GRATWICK |
| Credential | MD |
| Practice Address |
900 Broadway Bangor ME 04401-1900 |
| Practice Telephone | 2079071187 |
| Practice Fax Number | 2079071189 |
| Mailing Telephone | 2079071187 |
| Mailing Fax Number | 2079071189 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD8989 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 108050000 | 05 |
| Street Address |
900 BROADWAY |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083607253 | James J Nakashima | Internal Medicine | 900 Broadway, Bangor, ME 04401-1900 | 2005-08-23 |
| 1881210193 | Devon Courtney Malay | Nurse Practitioner | 900 Broadway, Bangor, ME 04401-1900 | 2020-06-23 |
| 1962937417 | Tina Marie Blackley | Nurse Practitioner | 900 Broadway, Bangor, ME 04401 | 2017-04-21 |
| 1134508518 | Ifeanyi Ioana Okam | Internal Medicine | 900 Broadway, Bangor, ME 04401 | 2015-05-19 |
| 1770911430 | Kristen L Druan | Nurse Practitioner | 900 Broadway, Bangor, ME 04401-1900 | 2013-10-16 |
| 1386980829 | Teresa M Bartlett | Nurse Practitioner | 900 Broadway, Bangor, ME 04401-1900 | 2013-01-02 |
| 1104160498 | Zachary Mitchell Greenier | Physician Assistant | 900 Broadway, Bangor, ME 04401-1900 | 2012-11-27 |
| 1437406444 | Deziree D Worster | Nurse Practitioner | 900 Broadway, Bangor, ME 04401 | 2012-08-08 |
| 1891059952 | Deborah H Higgins | Nurse Practitioner | 900 Broadway, Bangor, ME 04401-1900 | 2012-07-03 |
| 1316219322 | Ashley L Hadley | Nurse Practitioner | 900 Broadway, Bangor, ME 04401-1900 | 2012-02-07 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1841290376 | Sidney Robert Block | Internal Medicine | 275 Union St, Bangor, ME 04401-4606 | 2005-07-27 |
| 1215208970 | Ruthie May Uy Chua | Internal Medicine | 900 Broadway, Bangor, ME 04401-1900 | 2012-01-25 |
| 1376569483 | Donald W Krause | Internal Medicine | 900 Broadway, Bangor, ME 04401-1900 | 2006-07-14 |
| 1467453233 | Block & Gratwick, Pa | Internal Medicine | 275 Union St, Bangor, ME 04401-4606 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982043477 | Amanda Mary Scott | Internal Medicine | 93 Campus Ave Fl 4, Lewiston, ME 04240-6030 | 2013-06-18 |
| 1679716187 | Saskia G. Cooper | Internal Medicine | 108 Centre St Ste 101, Bath, ME 04530-2550 | 2009-04-14 |
| 1396750485 | Margaret A Duston | Internal Medicine | 17 Apple Tree Ln, Manchester, ME 04351-3428 | 2006-07-29 |
| 1699729657 | Mary Moran | Internal Medicine | 16 Fahey St Ste 202, Belfast, ME 04915-6029 | 2006-05-22 |
| 1265420590 | Lee G Kendall Jr. | Internal Medicine | 10 High St, Ste 204, Lewiston, ME 04240-7640 | 2005-10-11 |
| 1144511528 | Sean D Stanhope | Internal Medicine | 10 High St, Suite 204, Lewiston, ME 04240-7653 | 2011-04-20 |
| 1336378405 | Asha Shrestha | Internal Medicine | 12 Cromwell Dr, Orono, ME 04473-3639 | 2009-07-09 |
| 1326263674 | Gale Anne Mccarty | Internal Medicine | 50 Union St, Maine Coast Rheumatology, Ellsworth, ME 04605-1586 | 2007-04-13 |
| 1215950506 | Daniel Aaron Jackson | Internal Medicine | 10 High St, Suite 204, Lewiston, ME 04240-7640 | 2006-07-26 |
| 1992728042 | Robert A. Sylvester | Internal Medicine | 140 Academy St, Presque Isle, ME 04769-3102 | 2006-07-26 |
| 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.