MR. JOHN NOWAK


Address: 489 State Street, Eastern Maine Medical Center, Bangor, ME 04401
Phone: 2079476336

MR. JOHN NOWAK (NPI# 1679595433) 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) 1679595433
Entity Type Individual
Full Name MR. JOHN NOWAK
Credential PAC
Practice Address 489 State Street
Eastern Maine Medical Center
Bangor
ME 04401
Mailing Address 489 State Street
Bangor
ME 04401
Practice Telephone 2079476336
Practice Fax Number 2079476537
Mailing Telephone 2079476336
Mailing Fax Number 2079476537
Enumeration Date 2006-07-24
Last Update Date 2008-05-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA870 ME Physician Assistants & Advanced Practice Nursing Providers

Other Providers JOHN NOWAK

NPI Name Taxonomy Address Enumeration
1588742118 John Robert Nowak Pharmacist 1st Ave 1 Block N of Cermak Building 37 Rm 139, Hines, IL 60141 2006-11-01
1679673263 John Joseph Nowak Chiropractor 817 Abbott Rd, Buffalo, NY 14220-2049 2006-09-23
1306838933 John Charles Nowak Emergency Medicine 3815 Highland Ave, Advocate Good Samaritan Hospital, Downers Grove, IL 60515-1500 2005-08-19

Office Location

Street Address 489 STATE STREET
EASTERN MAINE MEDICAL CENTER
City BANGOR
State ME
Zip Code 04401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528506300 Megan Grant Buckley Registered Nurse 489 State Street, Kagan Building, Level 2, Bangor, ME 04401-6616 2017-02-01
1992180483 Gineen Afeisha Theresa Cudjoe Hospitalist 489 State Street, Kelley 6, Bangor, ME 04401 2015-07-25
1538542931 Harleen Kaur Dehal Internal Medicine 489 State Street, Kelley 6, Bangor, ME 04401 2015-07-02
1881947075 Ann J Parsons Nurse Practitioner 489 State Street, Kagan 2, Bangor, ME 04401 2012-10-25
1265780316 Taibah Ali Alabdrabalnabi Emergency Medicine 489 State Street, Northern Light Eastern Maine Medical Center, Bangor, ME 04401 2012-08-21
1619240652 David James Martin Student in an Organized Health Care Education/Training Program 489 State Street, Bangor, ME 04401-6616 2012-02-22
1285946111 Aimen A. Houni Anesthesiology 489 State Street, Emmc, Bangor, ME 04401-6616 2010-07-08
1457528010 Mahmoud Hamdy Ibrahim Kamel Neurological Surgery 489 State Street, Eastern Maine Medical Center / Dept. of Neurosurgery, Bangor, ME 04401 2008-05-13
1447423405 Allison Cosslett Kulikowski Hospitalist 489 State Street, Bangor, ME 04401 2008-04-10
1598973489 Peter Hulsey Emergency Medicine 489 State Street, Emergency Department, Bangor, ME 04401 2007-05-21
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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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093730350 Melissa Becker Physician Assistant 925 Union St, Suite 3, Bangor, ME 04401-3051 2006-07-13
1356969521 Ashley Gilmore Physician Assistant 883 Union Street, Suite 145, Bangor, ME 04401 2020-07-14
1508496845 Jeremy Kent Wu Physician Assistant 55 Broadway Ste 2, Bangor, ME 04401-5201 2020-01-24
1922668466 Kathryn Dobrovolny Physician Assistant 417 State St Ste 330, Bangor, ME 04401-6638 2019-06-17
1063076461 Nicole Louise Robitaille Physician Assistant 417 State St Ste 330, Bangor, ME 04401-6638 2019-05-01
1356809883 Abigail Elizabeth Bobbitt Physician Assistant 417 State Street, Webber West, Suite 443, Bangor, ME 04401 2019-03-04
1023574357 Katherine Page Hintz Physician Assistant 55 Broadway Ste 2, Bangor, ME 04401-5201 2019-02-12
1992286546 Royce Blackwood Physician Assistant 360 Broadway, Bangor, ME 04401-3979 2018-08-22
1609383041 Alana Rive Silverman Physician Assistant 417 State St Ste 221, Bangor, ME 04401-6630 2018-01-08
1366951501 Andrew Michael Zielinski Physician Assistant 417 State St Ste 340, Bangor, ME 04401-6634 2017-09-20
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Competitor

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City BANGOR
Zip Code 04401

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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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