| Down East Orthopedic Assoc Pa | |
|
78 Ridgewood Dr, Bangor, ME 04401-2652 | |
| (207) 947-8381 | |
| (207) 942-5631 |
| Full Name | Down East Orthopedic Assoc Pa |
|---|---|
| Type | Facility |
| Speciality | Specialist |
| Location | 78 Ridgewood Dr, Bangor, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194763110 | NPI | - | NPPES |
| CF4751 | Other | ME | RAIL ROAD MEDICARE GROUP |
| 105820000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Maine) | Secondary |
| 225X00000X | Occupational Therapist | (Maine) | Secondary |
| 174400000X | Specialist | (Maine) | Primary |
| Provider Name | Daniel Mcguire |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669476420 PECOS PAC ID: 9830187525 Enrollment ID: I20040503000701 |
| Provider Name | John I Pyne |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1447254115 PECOS PAC ID: 2163493743 Enrollment ID: I20050725000812 |
| Provider Name | Garrett R Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669476438 PECOS PAC ID: 5193711950 Enrollment ID: I20051122000447 |
| Provider Name | John L Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992900831 PECOS PAC ID: 2365458882 Enrollment ID: I20060221000638 |
| Provider Name | Stephen M Walsh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386690501 PECOS PAC ID: 7517979529 Enrollment ID: I20070911000497 |
| Provider Name | Misti M Guerin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760677611 PECOS PAC ID: 0446338818 Enrollment ID: I20080425000123 |
| Provider Name | Kenneth R. Morse |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1609885219 PECOS PAC ID: 2062558653 Enrollment ID: I20091013000391 |
| Provider Name | Melissa Catell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184814147 PECOS PAC ID: 6305028093 Enrollment ID: I20110317000232 |
| Provider Name | Cameron L Trubey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083824106 PECOS PAC ID: 8224203898 Enrollment ID: I20111209000065 |
| Provider Name | Jacob D Brooks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720244262 PECOS PAC ID: 3375786965 Enrollment ID: I20130829000575 |
| Provider Name | Peter Alex Green |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1962627927 PECOS PAC ID: 4688822141 Enrollment ID: I20161118000355 |
| Provider Name | Antonios Tsismenakis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942509161 PECOS PAC ID: 3072745439 Enrollment ID: I20170913001190 |
| Provider Name | Joshua J Vaughn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417240508 PECOS PAC ID: 4587883806 Enrollment ID: I20180712002089 |
| Provider Name | Timothy Graham Allen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871522490 PECOS PAC ID: 9032295811 Enrollment ID: I20200626001123 |
| Provider Name | Christopher D Ouellette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467011254 PECOS PAC ID: 1052712700 Enrollment ID: I20210701001559 |
| Provider Name | Jessica Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407340003 PECOS PAC ID: 5799032371 Enrollment ID: I20210726001562 |
| Provider Name | Elizabeth Carroll Truelove |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1336521046 PECOS PAC ID: 5991121188 Enrollment ID: I20210921003285 |
| Provider Name | Travis E Wright |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346745676 PECOS PAC ID: 8820345168 Enrollment ID: I20241112000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Down East Orthopedic Assoc Pa 78 Ridgewood Dr, Bangor, ME 04401-2652 Ph: (207) 947-8381 | Down East Orthopedic Assoc Pa 78 Ridgewood Dr, Bangor, ME 04401-2652 Ph: (207) 947-8381 |