Takeo Kawamura, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

005412 Issued in ME

Practice address

263 State St Ste 23
Bangor, ME 04401-5438

Phone

(207) 945-3615

Fax

(207) 945-3444

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bangor Psychiatric Associates, PA

  • Psychiatry Physician
  • Bangor, ME
  • NPI 1740356997
  NPD (past)
• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124188255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 STATE ST STE 23",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015438",
            "telephone_number": "207-945-3615",
            "fax_number": "207-945-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 STATE ST STE 23",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015438",
            "telephone_number": "207-945-3615",
            "fax_number": "207-945-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAMURA",
        "first_name": "TAKEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "005412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "048918",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Wight
• Kimberly S Kauffman, M.D.
• Brian E Kaufman, DO
• Sunmeet Kaur, MD
• Douglas Lee Kavanaugh, PA-C
• Peter Keebler, M.D.
• George Keefe, CADC
• John Aloysius Keefe, PH.D.
• Susan Keeffe
• Aiden Keen, LCPC/C

• Psychiatry Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.