Organization Active NPI

Acadia OB-GYN Associates, P.a.

  • Obstetrics & Gynecology Physician
  • Bangor, ME
National Provider Identifier
1487771283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ACADIA OB-GYN ASSOCIATES, P.A.
Practice address
68 Mount Hope Ave
Suite 3
Bangor, ME 04401-4096
Phone
(207) 947-6501
Fax
(207) 941-0146
NPI assigned
Mar 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debra L Fournier
Title
Practice Coordinator
Phone
(207) 947-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

68 Mount Hope Ave
Suite 3
Bangor, ME 04401-4096

Mailing address

68 Mount Hope Ave
Suite 3
Bangor, ME 04401-4096
Phone (207) 947-6501

Other identifiers 2

IdentifierTypeStateIssuer
S0174OtherMEANTHEM OF MAINE
1041295OtherMEAETNA

National Provider Directory

National Provider Directory

Locations

68 Mount Hope Ave
Ste 3
Bangor, ME 04401
Phone (207) 947-6501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487771283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 MOUNT HOPE AVE",
            "address_2": "SUITE 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014096",
            "telephone_number": "207-947-6501",
            "fax_number": "207-941-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MOUNT HOPE AVE",
            "address_2": "SUITE 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014096",
            "telephone_number": "207-947-6501",
            "fax_number": "207-941-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA OB-GYN ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR",
        "authorized_official_telephone_number": "207-947-6501"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OF MAINE",
            "identifier": "S0174",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1041295",
            "state": "ME"
        }
    ],
    "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 Aug 22, 2020; 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.