Kris Sornberger Osteopathic Healthcare

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

KRIS SORNBERGER OSTEOPATHIC HEALTHCARE

Practice address

1 Cumberland PL Ste 112
Bangor, ME 04401-5083

Phone

(207) 307-0816

NPI assigned

Apr 7, 2019

Organization subpart

No

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

Authorized official

Name

Kris S. Sornberger, DONPI 1245268945

Title

Owner

Phone

(207) 307-0816

Specialties & licenses 1

Addresses

Other names 1

• Form Function Osteopathic Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kris S. Sornberger, D.O.

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1245268945

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554595200000",
    "number": "1235692385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 SKYLINE RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012158",
            "telephone_number": "207-907-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CUMBERLAND PL STE 112",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015083",
            "telephone_number": "207-307-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS SORNBERGER OSTEOPATHIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-07",
        "last_updated": "2019-04-07",
        "status": "A",
        "authorized_official_last_name": "SORNBERGER",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-307-0816",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Form Function Osteopathic Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven D Kozusko, MD, MED
• Gregory Paul Kramer, D.M.D.
• Joanna Catherine Krasinski, MSN, APRN, BC, COHNS
• Donald W Krause, MD
• Andrew David Kreitzer, PSY.D.
• Fredric A Kristal, PHD
• Agnieszka Karolina Serwik Kronholm, PH.D.
• Victoria Amanda Kugel, LCPC
• Jennie Kuhn, LCPC-C
• Allison Cosslett Kulikowski, DO

• Neuromusculoskeletal Medicine & OMM Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.