David J Koffman (NPI# 1164402624, PAC ID# 8426092198) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1164402624 |
| PAC ID by PECOS | 8426092198 |
| Professional Enrollment ID | I20050614000332 |
| Full Name | David J Koffman |
| Organization Legal Name | ST JOSEPH HOSPITAL |
| Address |
900 Broadway Bangor ME 04401-1900 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6406766336 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200001 | ST JOSEPH HOSPITAL |
| 200033 | EASTERN MAINE MEDICAL CENTER |
| 201313 | SEBASTICOOK VALLEY HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 360 Broadway, Bangor, ME 04401-3979 | ST JOSEPH HOSPITAL | |
| 360 Broadway, Suite 100, Bangor, ME 04401-3979 | 2079073550 | ST JOSEPH HOSPITAL |
| 900 Broadway, Bangor, ME 04401-1900 | ST JOSEPH HOSPITAL |
| Organization Legal Name | ST JOSEPH HOSPITAL |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron S Karmes | Family Medicine | St Joseph Hospital | 21 Western Ave, Hampden, ME 04444-1422 |
| Christine A Nealley | Nurse Practitioner | St Joseph Hospital | 329 Wilson St, Brewer, ME 04412-1504 |
| Nancy J Fishwick | Nurse Practitioner | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Ilsa A Shulman | Internal Medicine | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Rodrigo C Roxas | Family Medicine | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Kerry S Riker | Internal Medicine | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Mira R Olson | Gastroenterology | St Joseph Hospital | 360 Broadway, Bangor, ME 04401-3979 |
| Pedro P Gomez Valencia | General Surgery | St Joseph Hospital | 360 Broadway, Bangor, ME 04401-3979 |
| Tahira Saifuddin | Gastroenterology | St Joseph Hospital | 360 Broadway, Bangor, ME 04401-3979 |
| Amina Qazi | Cardiovascular Disease (cardiology) | St Joseph Hospital | 360 Broadway, Bangor, ME 04401-3979 |
| Street Address |
900 BROADWAY |
| City | BANGOR |
| State | ME |
| Zip | 04401-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy J Fishwick | Nurse Practitioner | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Ilsa A Shulman | Internal Medicine | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Rodrigo C Roxas | Family Medicine | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Kerry S Riker | Internal Medicine | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Rebecca M Mcelrath | Clinical Social Worker | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Zachary M Greenier | Physician Assistant | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Adrienne M Ewer | Nurse Practitioner | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Karen E Nichols | Physician Assistant | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Ifeanyi I Okam | Internal Medicine | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Ana X Mendoza Salazar | Endocrinology | St Joseph Hospital | 900 Broadway, Bangor, ME 04401-1900 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karie Anne Davis | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Elizabeth A Brewer | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Heidi Lee Niles | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Ashley Diane Philibert | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Jaimee Leigh Perry | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Matthew Timothy Soucy | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Michael James Strahan | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Karen E Mitchell | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Ann M Covey | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Susan Allen | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Find all physicians in zip 04401 | |||
| City | BANGOR |
| Zip Code | 04401 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BANGOR + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on David J Koffman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.