CENTRAL MAINE ORTHOTICS AND PROSTHETICS (NPI# 1669590147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669590147 |
| Entity Type | Organization |
| Organization Name | CENTRAL MAINE ORTHOTICS AND PROSTHETICS |
| Practice Address |
276 State St Bangor ME 04401-5419 |
| Mailing Address |
276 State St Bangor ME 04401 |
| Practice Telephone | 2079419544 |
| Mailing Telephone | 2078731131 |
| Mailing Fax Number | 2078726014 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | MR. DUANE LEE ELLIS (PRESIDENT) |
| Authorized Official Telephone | 2078731131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 154570000 | 05 |
| Street Address |
276 STATE ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5419 |
| 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 | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326134578 | Lamey Wellehan Inc | Prosthetic/Orthotic Supplier | 43 Bangor Mall Blvd, Bangor, ME 04401-3612 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376031310 | Divine Healing LLC | Prosthetic/Orthotic Supplier | 86 Farley Rd, Brunswick, ME 04011-2642 | 2018-04-25 |
| 1750627774 | Allied Health Advantage | Prosthetic/Orthotic Supplier | 120 Drummond Ave Ste 2, Waterville, ME 04901-5778 | 2012-12-19 |
| 1750656039 | Sound Limbs Orthotics, Inc | Prosthetic/Orthotic Supplier | 45 Mallett Dr Suite 102, Freeport, ME 04032-1312 | 2012-03-20 |
| 1194023218 | Aryz Inc | Prosthetic/Orthotic Supplier | 671 Forest Ave, Portland, ME 04103-4158 | 2011-03-14 |
| 1225366792 | Innovative Prosthetic Solutions, Inc | Prosthetic/Orthotic Supplier | 120 Percy Hawkes Rd, Windham, ME 04062-4397 | 2009-11-21 |
| 1700013935 | Lady Grace Stores, Inc. | Prosthetic/Orthotic Supplier | 343 Gorham Rd, South Portland, ME 04106-2317 | 2009-06-15 |
| 1619140381 | Damariscotta Chiropractic | Prosthetic/Orthotic Supplier | 54 Bristol Road, Damariscotta, ME 04543-4025 | 2008-04-02 |
| 1063699064 | Secret Beneath | Prosthetic/Orthotic Supplier | 130 Congress St, Rumford, ME 04276-2035 | 2008-01-22 |
| 1376625400 | Lamey Wellehan Inc | Prosthetic/Orthotic Supplier | Cooks Corner Mall, Brunswick, ME 04011 | 2006-10-19 |
| 1235225442 | Lamey Wellehan Inc | Prosthetic/Orthotic Supplier | 940 Turner St, Auburn, ME 04210-6309 | 2006-10-05 |
| 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.