JESSE GALOVICH


Address: 417 State St Ste 121, Bangor, ME 04401-6630
Phone: 2079734266

JESSE GALOVICH (NPI# 1982243747) 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) 1982243747
Entity Type Individual
Full Name JESSE GALOVICH
Practice Address 417 State St Ste 121
Bangor
ME 04401-6630
Mailing Address 43 Whiting Hill Rd Ste 300
Brewer
ME 04412-1006
Practice Telephone 2079734266
Mailing Telephone 2079735035
Mailing Fax Number 2079735042
Enumeration Date 2019-12-26
Last Update Date 2020-06-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA2052 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 417 STATE ST STE 121
City BANGOR
State ME
Zip Code 04401-6630

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912976911 Joseph Harkins Physician Assistant 417 State St Ste 121, Bangor, ME 04401-6630 2006-03-14
1679839047 Janese Shade' Laster Internal Medicine 417 State St Ste 121, Bangor, ME 04401-6630 2012-04-10
1033206941 Jean M Larson Internal Medicine 417 State St Ste 121, Bangor, ME 04401-6630 2006-10-10
1124066154 Angel A Fernandez Segura Internal Medicine 417 State St Ste 121, Bangor, ME 04401-6630 2006-06-03

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 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1932647112 Cory Callahan Physician Assistant 417 State St, Suite 340, Bangor, ME 04401 2017-02-07
1437559010 Shelby June Slauenwhite Physician Assistant 489 State St Ste 221, Bangor, ME 04401-6616 2014-09-02
1437242294 Sunbury Primary Care, P.a. Physician Assistant 133 Corporate Drive, Suite 5, Bangor, ME 04401 2006-10-02
1891890166 John F Cassidy Iv Physician Assistant 34 Summer St, Bangor, ME 04401-6446 2006-09-13
1831124338 Isolde Kissinger Physician Assistant 520 Railroad St, Bangor, MI 49013-1490 2006-07-12
1366472847 Michael Moreau Physician Assistant 417 State Street Webber West Suite 340, Bangor, ME 04401-6616 2006-07-03
1104868603 Karen D Godin Physician Assistant 417 State St Ste 400, Penobscot Respiratory, Bangor, ME 04401-6096 2006-06-11
1912976911 Joseph Harkins Physician Assistant 417 State St Ste 121, Bangor, ME 04401-6630 2006-03-14
1932194214 Shirley E Sanders Physician Assistant 555 Railroad St, Bangor, MI 49013-1464 2005-09-13
Find all providers in BANGOR

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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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