SPECTRUM MEDICAL GROUP, P.A. (NPI# 1821495029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821495029 |
| Entity Type | Organization |
| Organization Name | SPECTRUM MEDICAL GROUP, P.A. |
| Other Organization Name | MEDICAL REHABILITATION ASSOCIATES |
| Practice Address |
489 State St Bangor ME 04401-6616 |
| Mailing Address |
77 Bates St Suite 102 Lewiston ME 04240-7637 |
| Practice Telephone | 2074827800 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | DAVID LANDRY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2074827800 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM MEDICAL GROUP, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medical Rehabilitation Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174050025 | Spectrum Medical Group, P.a. | Clinic/Center | 100 Griffin Rd, Portsmouth, NH 03801-7158 | 2017-05-22 |
| 1841722618 | Spectrum Medical Group, P.a. | Surgery | 10 Andover Rd, Portland, ME 04102-1954 | 2017-03-31 |
| 1639577620 | Spectrum Medical Group, P.a. | Radiology | 489 State St, Bangor, ME 04401-6616 | 2014-12-08 |
| 1003213208 | Spectrum Medical Group, P.a. | Anesthesiology | 489 State St, Bangor, ME 04401-6616 | 2014-12-03 |
| 1801140660 | Spectrum Medical Group, P.a. | Psychiatry & Neurology | 498 Essex St, Suite 105, Bangor, ME 04401-3990 | 2012-11-01 |
| 1265794655 | Spectrum Medical Group, P.a. | Physical Medicine & Rehabilitation | 77 Bates St, Suite 102, Lewiston, ME 04240-7637 | 2012-06-12 |
| 1588687586 | Spectrum Medical Group, P.a. | Radiology | 140 Academy St, Presque Isle, ME 04769-3102 | 2006-07-25 |
| Street Address |
489 STATE ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789147 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-06-13 |
| 1356956239 | Amanda Roberts | Physician Assistant | 489 State St, Bangor, ME 04401-6674 | 2020-09-09 |
| 1558983148 | Lana Caroline Hoertz | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2020-05-18 |
| 1427696954 | Kelsey A Mcgrath | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2019-12-16 |
| 1528629888 | Jaclyn Young | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2019-06-26 |
| 1568928018 | Emily Bohm | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-20 |
| 1144786971 | Andrew Hopkins | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-18 |
| 1750847083 | Daniel Patrick Conway | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-12 |
| 1306317847 | Matthew Daniel Kent | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2018-12-10 |
| 1750869061 | Brian Marsh | Nurse Practitioner | 489 State St, Bangor, ME 04401 | 2018-07-31 |
| 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 | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659302123 | Mohammad Tahir Farooq | Physical Medicine & Rehabilitation | 225 Erdman St, Bangor, PA 18013-2043 | 2006-07-05 |
| 1154830420 | Autumn Lynn Poulin | Physical Medicine & Rehabilitation | 37 Pond St, Bangor, ME 04401-4641 | 2017-09-29 |
| 1710437108 | Lauren Defiore | Physical Medicine & Rehabilitation | 225 Erdman St, Bangor, PA 18013-2043 | 2016-10-10 |
| 1184006884 | Adnan Solaiman | Physical Medicine & Rehabilitation | 489 State St, Bangor, ME 04401-6616 | 2015-06-18 |
| 1912343823 | Tracy Bras | Physical Medicine & Rehabilitation | 925 Union St Ste 3, Bangor, ME 04401 | 2013-05-18 |
| 1427366673 | Debbie Lim Tan | Physical Medicine & Rehabilitation | 905 Union St Ste 9, Bangor, ME 04401-3039 | 2010-09-22 |
| 1083806525 | Alexius Enrique Garcia Sandoval | Physical Medicine & Rehabilitation | 905 Union St, Suite 9, Bangor, ME 04401-3050 | 2007-08-17 |
| 1457405474 | Sadvi Ganesh | Physical Medicine & Rehabilitation | 905 Union St Ste 9, Bangor, ME 04401-3039 | 2007-01-23 |
| 1811907199 | Mary A Macy | Physical Medicine & Rehabilitation | 905 Union St Ste 9, Bangor, ME 04401-3039 | 2006-08-09 |
| 1053354860 | Susana Ortiz | Physical Medicine & Rehabilitation | 905 Union St, Suite 9, Bangor, ME 04401-3050 | 2006-06-13 |
| 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.