Active NPI
Sherry Sue Page, M.D.
- Trauma Surgery Physician
- Bangor, ME
National Provider Identifier
1376654210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 017108
- Practice address
- 417 State St
Bangor, ME 04401-6630 - Phone
- (207) 973-4949
- Fax
- (207) 973-4466
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | H5475 | TX | |
| Surgery Physician | 208600000X | 35077 | MN | |
| Surgery Physician | 208600000X | 017108 | ME | |
| Trauma Surgery Physician | 2086S0127X | H5475 | TX | |
| Trauma Surgery Physician | 2086S0127X | 35077 | MN | |
| Trauma Surgery Physician | 2086S0127X | 017108 | ME | Primary |
Addresses
Primary practice location
417 State St
Bangor, ME 04401-6630
Mailing address
46 Pheasant LN
Saint Paul, MN 55127-6441
Phone (806) 220-3821
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35077 | MN | MD | Dermatology Physician |
| 017108 | ME | MD | Surgery Physician |
| H5475 | TX | MD | Trauma Surgery Physician |
| 51079 | WI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norumbega Medical Specialists, LTD | Past | Accepting new patients | |
| Eastern Maine Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Health Service Clinic/Center
- Brewer, ME
- NPI 1780821140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1376654210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 PHEASANT LN",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551276441",
"telephone_number": "806-220-3821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016630",
"telephone_number": "207-973-4949",
"fax_number": "207-973-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "SHERRY",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "H5475",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "35077",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "017108",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TX",
"license": "H5475",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MN",
"license": "35077",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "ME",
"license": "017108",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.