DR. CAROL TRASK (NPI# 1982624326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982624326 |
| Entity Type | Individual |
| Full Name | DR. CAROL TRASK |
| Credential | M.D. |
| Practice Address |
417 State St Ste 439 Bangor ME 04401-6635 |
| Practice Telephone | 2075612400 |
| Practice Fax Number | 2079904848 |
| Mailing Telephone | 2075612400 |
| Mailing Fax Number | 2079904848 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 014908 | ME | Other Service Providers |
| Street Address |
417 STATE ST STE 439 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396701322 | Marek Skacel | Specialist | 417 State St Ste 439, Bangor, ME 04401-6635 | 2006-04-26 |
| 1700258894 | Rima Kanhoush | Specialist | 417 State St Ste 439, Bangor, ME 04401-6635 | 2015-10-28 |
| 1801201967 | Chelsey Marie Gracia | Pathology | 417 State St Ste 439, Bangor, ME 04401-6635 | 2014-06-27 |
| 1235561887 | Lindsay Williams | Pathology | 417 State St Ste 439, Bangor, ME 04401-6635 | 2013-08-06 |
| 1316259435 | Ian Mukand-cerro | Dermatology | 417 State St Ste 439, Bangor, ME 04401-6635 | 2010-07-06 |
| 1730109117 | Irwin Gross | Specialist | 417 State St Ste 439, Bangor, ME 04401-6635 | 2006-07-20 |
| 1538189188 | David Renedo | Specialist | 417 State St Ste 439, Bangor, ME 04401-6635 | 2006-07-19 |
| 1316967979 | Stephen Pfister | Specialist | 417 State St Ste 439, Bangor, ME 04401-6635 | 2006-07-19 |
| 1952321507 | Richard Riemersma | Specialist | 417 State St Ste 439, Bangor, ME 04401-6635 | 2006-07-19 |
| 1053331637 | John Kaiser | Specialist | 417 State St Ste 439, Bangor, ME 04401-6635 | 2006-07-19 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558746032 | Seth Trahan | Specialist | 12 Vine St, Bangor, ME 04401-6029 | 2015-07-24 |
| 1649544438 | John R. Mcgill, Md, Pa | Specialist | 436a State St, Bangor, ME 04401-6606 | 2012-02-27 |
| 1952536880 | Penobscot Valley Dermatology, P.a. | Specialist | 90 Ridgewood Drive, Bangor, ME 04401-2652 | 2009-05-21 |
| 1154590875 | Tricia Margaret Lacour | Specialist | 160 Lois Ln, Bangor, PA 18013-5306 | 2008-02-27 |
| 1134341985 | Robert A. Grover, Do, Pa | Specialist | 263 State Street, Suite 23, Bangor, ME 04401 | 2007-05-02 |
| 1598803553 | Thomas G Poulin | Specialist | 199 Cedar St, Bangor, ME 04401-4638 | 2007-02-02 |
| 1669525440 | Orthopaedic Associates of Bangor, Pa | Specialist | 417 State St Ste 209, Bangor, ME 04401-6630 | 2007-01-18 |
| 1205870789 | Tracey T Hughes | Specialist | 417 State St Ste 442, Bangor, ME 04401-6634 | 2006-06-15 |
| 1396701322 | Marek Skacel | Specialist | 417 State St Ste 439, Bangor, ME 04401-6635 | 2006-04-26 |
| 1093791964 | John Additon Bradford | Specialist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2005-12-21 |
| 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.