PENOBSCOT FAMILY FOOT AND ANKLE CENTER NPI 1841690377

NPI Information

NPI: 1841690377
Provider Name: PENOBSCOT FAMILY FOOT AND ANKLE CENTER
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
205 FRENCH ST
BANGOR, ME
ZIP 04401
Phone: (207) 945-5554
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PENOBSCOT FAMILY FOOT AND ANKLE CENTER is a foot and ankle surgery podiatrist in Bangor, ME. PENOBSCOT FAMILY FOOT AND ANKLE CENTER NPI is 1841690377. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

205 FRENCH ST
BANGOR, ME
ZIP 04401-064
Phone: (207) 945-5554
Fax: (207) 945-5196

The provider's authorized official is Diane Maria Desantis .
The authorized official title is Billing Manager and has the following contact phone number (781) 231-7026.

The enumeration date for this NPI number is 9/3/2014 and was last updated on 9/3/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	POD1032	MAINE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICARE PIN	MAINE

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

NPI Synchronization or Removal

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