Acadia Medical Arts Pain Management LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

ACADIA MEDICAL ARTS PAIN MANAGEMENT LLC

Practice address

404 State St Ste 300
Bangor, ME 04401-6623

Phone

(207) 990-0928

Fax

(207) 945-4354

NPI assigned

Sep 10, 2007

Last updated

Jun 3, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

ACADIA MEDICAL ARTS AMBULATORY SURGERY SUITESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Paulette A Blue, RN

Title

Administrator

Phone

(207) 990-0928

Specialties & licenses 1

Addresses

Other identifiers 4

Part of

Acadia Medical Arts

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Acadia Medical Arts Ambulatory Surgical Suite

  • Ambulatory Surgical Clinic/Center
  • Bangor, ME
  • NPI 1407867583

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen M Walsh, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Bangor, ME
  • NPI 1386690501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1063607422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 STATE ST STE 200",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016652",
            "telephone_number": "207-990-0928",
            "fax_number": "207-945-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 STATE ST STE 300",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016623",
            "telephone_number": "207-990-0928",
            "fax_number": "207-945-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA MEDICAL ARTS PAIN MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA MEDICAL ARTS AMBULATORY SURGERY SUITES",
        "enumeration_date": "2007-09-10",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-990-0928",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1716688",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "200363",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432748500",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7937210",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Acadia Healthcare, Inc
• Acadia Hospital
• Acadia Hospital Corp
• Acadia Medical Arts Ambulatory Surgical Suite
• Acadia Medical Arts Anesthesia LLC
• Acadia OB-GYN Associates, P.a.
• Acadia Residential Care.LLC
• Gloria Ngozi Achufuna-Okeke, PHARMACIST
• Carroll L Ackley, LADC, CCS
• Erin Elizabeth Ackley

• Pain Medicine (Anesthesiology) Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Pain Medicine (Anesthesiology) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.