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ACADIA FOOT & ANKLE PA NPI 1326121294


NPI Information

NPI: 1326121294
Provider Name: ACADIA FOOT & ANKLE PA

Doing Business As: ACADIA FOOT & ANKLE

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
700 MOUNT HOPE AVE STE 620
BANGOR, ME
ZIP 04401
Phone: (207) 947-2220
Get Directions

ACADIA FOOT & ANKLE PA 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. ACADIA FOOT & ANKLE PA NPI is 1326121294. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Acadia Foot & Ankle.

The provider's business location address is:

700 MOUNT HOPE AVE STE 620
BANGOR, ME
ZIP 04401-667
Phone: (207) 947-2220
Fax: (207) 947-4073

The provider's authorized official is Keith S Kendall .
The authorized official title is Owner and has the following contact phone number (207) 947-2220.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 4/26/2019.


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
1213E00000XPodiatristPOD181MAINEYes

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
12646097OTHERAETNA
2135400000MEDICAIDMAINE

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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