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SUNBURY PRIMARY CARE P.A. NPI 1538248141


NPI Information

NPI: 1538248141
Provider Name: SUNBURY PRIMARY CARE, P.A.

Doing Business As: SUNBURY PODIATRY SERVICES

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
900 BROADWAY
BUILDING 1
BANGOR, ME
ZIP 04401
Phone: (207) 945-2616
Get Directions

SUNBURY PRIMARY CARE, P.A. is a podiatrist in Bangor, ME. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SUNBURY PRIMARY CARE, P.A. NPI is 1538248141. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sunbury Podiatry Services.

The provider's business location address is:

900 BROADWAY
BUILDING 1
BANGOR, ME
ZIP 04401-900
Phone: (207) 945-2616
Fax: (207) 945-2623

The provider's authorized official is David L Savell .
The authorized official title is Chief Executive Officer and has the following contact phone number (207) 942-7650.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 1/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPOD1028MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========021OTHERMAINEHEALTHNET GROUP NUMBER
2MM4451MEDICARE ID-TYPE UNSPECIFIEDMAINEMEDICARE GROUP NUMBER
3432023300MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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