Michael J Bushey, M.D.
Individual provider Active NPI Anesthesiology Physician · Waterville, ME
NPI 1073552253 · NPPES record last updated Mar 21, 2011
Key facts
- NPI
- 1073552253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 013151 (ME)
- Practice address
- 149 North St
Waterville, ME 04901-4974 - Phone
- (207) 872-1270
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013151 | ME | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterville Anesthesia Associates, P.a. | Anesthesiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 013151 | ME | Yes |
Addresses
Primary practice location
149 North St
Waterville, ME 04901-4974
Mailing address
6 E Chestnut St
Augusta, ME 04330-5717
Phone (207) 622-1959
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C65782 | Other | ME | HARVARD |
| 4723322 | Other | ME | CIGNA |
| 1042109 | Other | ME | AETNA |
| 268420099 | Medicaid | ME | |
| 003615 | Other | ME | ANTHEM |
Other providers in Waterville, ME
- Kelli Bryer
- Elaine Buckley
- Emil Bukher
- Adam Burke
- Louise R Burns
- Tiffany Bussiere
- Adrienne Emily Butler
- Jessica Arnie Butler
- C William Lavin MD,LLC
- C. V. Diagnostics, Inc.
All providers in Waterville, ME · Anesthesiology Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.