Active NPI
Romene Sablok
- Perfusionist
- Bangor, ME
National Provider Identifier
1245801497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- Practice address
- 489 State St
Bangor, ME 04401 - Phone
- (207) 973-7000
- NPI assigned
- Jul 8, 2021
- Reactivated
- Apr 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Perfusionist | 242T00000X | Primary |
Addresses
Primary practice location
489 State St
Bangor, ME 04401
Mailing address
50 State St
Unit 1
Brewer, ME 04412
Phone (602) 632-8274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1245801497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 STATE ST",
"address_2": "UNIT 1",
"city": "BREWER",
"state": "ME",
"postal_code": "04412",
"telephone_number": "602-632-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-973-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABLOK",
"first_name": "ROMENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"deactivation_date": "2021-08-13",
"reactivation_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.