BANGOR PLASTIC AND HAND SURGERY, P.A. (NPI# 1902987506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902987506 |
| Entity Type | Organization |
| Organization Name | BANGOR PLASTIC AND HAND SURGERY, P.A. |
| Practice Address |
885 Union St Suite 245 Bangor ME 04401-3083 |
| Practice Telephone | 2079475657 |
| Practice Fax Number | 2079471894 |
| Mailing Telephone | 2079475657 |
| Mailing Fax Number | 2079471894 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-12-03 |
| Authorized Official Name | DR. DAVID A BRANCH (PRESIDENT) |
| Authorized Official Telephone | 2079475657 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians |
| Street Address |
885 UNION ST SUITE 245 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093707275 | Richard Peter Lenz | Otolaryngology | 885 Union St, Ste 145, Bangor, ME 04401-3083 | 2005-08-16 |
| 1598137754 | Vna Home Health & Hospice | Home Health | 885 Union St, Suite 220, Bangor, ME 04401 | 2015-10-28 |
| 1255708194 | Workhealth, LLC | Clinic/Center | 885 Union St, Suite 215, Bangor, ME 04401-3083 | 2015-08-26 |
| 1881866085 | Macinnes Optical | Technician/Technologist | 885 Union St, Ste 140, Bangor, ME 04401-3082 | 2008-03-27 |
| 1306913231 | Howard J Jones | Internal Medicine | 885 Union St, Suite 215, Bangor, ME 04401-3083 | 2006-11-29 |
| 1003994476 | C Christopher Smith | Otolaryngology | 885 Union St, Suite 145, Bangor, ME 04401-3083 | 2006-11-01 |
| 1275642456 | Oral & Facial Surgery | Dentist | 885 Union St, Ste. 225, Bangor, ME 04401-3083 | 2006-08-30 |
| 1114945433 | James A Raczek | Family Medicine | 885 Union St, Bangor, ME 04401-3083 | 2006-07-17 |
| 1528003266 | Barbara J. Daigle | Nurse Practitioner | 885 Union St, Suite 145, Bangor, ME 04401-3083 | 2006-06-17 |
| 1871547885 | Eastern Maine Homecare | Hospice Care, Community Based | 885 Union St, Suite 220, Bangor, ME 04401-3083 | 2006-05-22 |
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| 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 | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932280559 | Carl R Cutshall | Plastic Surgery | 153 Maple St, Bangor, ME 04401-4031 | 2006-10-18 |
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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.