DR. JAYMIE FE POTENCIANO PANUNCIALMAN


Address: 35 State Hospital Dr, Bangor, ME 04401-8816
Phone: 2075613600

DR. JAYMIE FE POTENCIANO PANUNCIALMAN (NPI# 1548567068) 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) 1548567068
Entity Type Individual
Full Name DR. JAYMIE FE POTENCIANO PANUNCIALMAN
Other Name JAYMIE FE SERNAL POTENCIANO
Credential M.D.
Practice Address 35 State Hospital Dr
Bangor
ME 04401-8816
Mailing Address 381 Main St
Orono
ME 04473-3446
Practice Telephone 2075613600
Mailing Telephone 2079420669
Mailing Fax Number 2079473143
Enumeration Date 2011-02-18
Last Update Date 2019-03-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology MD20891 ME Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
381 Main St, Orono, ME 044733446 2079420669 2079473143

Office Location

Street Address 35 STATE HOSPITAL DR
City BANGOR
State ME
Zip Code 04401-8816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033160064 Togus Vamc Clinic/Center 35 State Hospital Dr, Bangor, ME 04401-8816 2006-05-15
1255991352 Lindsay Michaud Optometrist 35 State Hospital Dr, Bangor, ME 04401-8816 2019-06-19
1881079192 Katherine Dawn Nickerson Optometrist 35 State Hospital Dr, Bangor, ME 04401-8816 2015-07-28
1356615645 Brianna Rae Charles Pharmacist 35 State Hospital Dr, Bangor, ME 04401-8816 2012-03-04
1013295849 Julie Anne M Joy Social Worker 35 State Hospital Dr, Bangor, ME 04401-8816 2011-07-27
1972836518 Jennifer Lyn Sprague Optometrist 35 State Hospital Dr, Bangor, ME 04401-8816 2009-09-15
1841440146 Karen L. Martin Social Worker 35 State Hospital Dr, Vha Bangor Mental Health Clinic, Bangor, ME 04401-8816 2008-09-23
1518161082 Jared Lenz Family Medicine 35 State Hospital Dr, Bangor, ME 04401 2007-06-11
1700997970 Ronald David Tapley Pharmacist 35 State Hospital Dr, Bangor, ME 04401-8816 2006-08-31

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 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235629742 Robert W Haeberlein Jr Md Pa Dermatology 700 Mount Hope Ave Ste 601, Bangor, ME 04401-5674 2018-05-10
1104919901 Robert Wynne Haeberlein Jr. Dermatology 700 Mount Hope Avenue Suite 601, Bangor, ME 04401-5600 2006-10-02
1023006194 Jeffrey Dean Pittis Dermatology 90 Ridgewood Dr, Bangor, ME 04401-2652 2005-10-12
1932537800 Holly Haeberlein Dermatology 90 Ridgewood Dr, Bangor, ME 04401-2652 2013-10-31
1861755209 Samantha Helene Mitchell Dermatology 90 Ridgewood Dr, Bangor, ME 04401-2652 2012-06-20
1124256029 Faith Miller Whalen Dermatology 90 Ridgewood Dr, Bangor, ME 04401-2652 2009-06-30
1053437780 Orville Albert Hartford Dermatology 90 Ridgewood Dr, Bangor, ME 04401-2652 2007-03-22
1750492930 William F Gallagher Dermatology 1012 Union St, Bangor, ME 04401 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124667191 Morris S Minton Md Faad Pa Dermatology 87 Elm St Ste 104a, Camden, ME 04843-1963 2019-12-23
1598063679 Yoon Cohen Dermatology 362 Us Route 1 Ste 5, Falmouth, ME 04105-1353 2011-03-14
1124250584 Einar Axel Juhlin Dermatology 340 Eastern Promenade, Unit 154, Portland, ME 04101-2754 2009-08-19
1093921025 Jennifer Woodbury Bragg Dermatology 50 Sewall Street, Portland, ME 04102 2007-05-15
1952438384 Elizabeth V Seiverling Dermatology 265 Western Ave Ste 1, South Portland, ME 04106-2415 2007-02-27
1871639286 Julia A Harre Dermatology 222 Auburn St Ste 205, Portland, ME 04103-6004 2007-01-30
1750472825 Joel A Sabean Dermatology 350 Cottage Rd, South Portland, ME 04106 2006-09-27
1508831900 Kathy A Bush Dermatology 100 Foden Road West, Suite 100, South Portland, ME 04106 2006-02-20
1467422733 Intermed Pa Dermatology 100 Gannett Dr, Suite C, South Portland, ME 04106-5900 2006-01-26
1013916410 Nancy Egan Dermatology 14 Maine St, Suite 201, Brunswick, ME 04011-2026 2005-07-18
Find all providers with the same taxonomy

Competitor

Search similar providers

City BANGOR
Zip Code 04401

Improve Information

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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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