Active NPI
Acadia OB-GYN Associates, P.a.
- Obstetrics & Gynecology Physician
- Bangor, ME
National Provider Identifier
1487771283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S0174 | Other | ME | ANTHEM OF MAINE |
| 1041295 | Other | ME | AETNA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics & Gynecology Physician
- Bangor, ME
- NPI 1457478257
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.