Cynthia Amanda Self, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

016811 Issued in ME

Practice address

900 Hammond St # a
Bangor, ME 04401-4378

Phone

(207) 947-6743

Fax

(207) 945-4397

NPI assigned

Oct 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Medical College of Georgia School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Maine Eye Associates PAGroup PAC ID 8820031610, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Hospital Hospital, Bangor, ME, CCN 200001

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Eastern Maine Eye Associates PA

  • Ophthalmology Physician
  • Bangor, ME
  • NPI 1679563076
  Medicare reassignment Care Compare group NPD
• Bangor Eye Surgery, PA

  • Ambulatory Surgical Clinic/Center
  • Bangor, ME
  • NPI 1215309653
  Medicare reassignment NPD
• Boston University Eye Associates, Inc.

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1285691337
  NPD (past)
• Jules Stein Eye Institute Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Fountain Valley, CA
  • NPI 1770938292
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Care Compare affiliation

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1275521650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HAMMOND ST # A",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014378",
            "telephone_number": "207-947-6743",
            "fax_number": "207-945-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HAMMOND ST # A",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014378",
            "telephone_number": "207-947-6743",
            "fax_number": "207-945-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "CYNTHIA",
        "middle_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "ME",
            "license": "MD16811",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "016811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431809499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manasi Sejpal, M.B.B.S
• Selby Psychological Services, PLLC
• Brian W Selby, PHD
• Christine L. B. Selby, PH.D.
• Select Physical Therapy Holdings Inc
• Nevalee Seltzer, DO
• Daaniyaa Selvaraju
• Eric W Semmel, PA-C
• Senior Helpers Maine LLC
• Chollia Senita, CNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.