Penobscot Bay Physicians & Associates

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PENOBSCOT BAY PHYSICIANS & ASSOCIATES

Practice address

3 Glen Cove Dr
Suite 2
Rockport, ME 04856-4232

Phone

(207) 596-8910

Fax

(207) 593-5302

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Authorized official

Name

Lyn B Faller

Title

Director

Phone

(207) 596-8903

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Penobscot Bay Medical Center

  • General Acute Care Hospital
  • Rockland, ME
  • NPI 1164668943

  Member Of

  NPD member

Locations

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Mary Anderson, D.O.

  • Internal Medicine Physician
  • Rockport, ME
  • NPI 1740486034
  Medicare reassignment NPD
• Jenny Lee Barrett-Hibl, FNP-BC

  • Family Nurse Practitioner
  • Rockport, ME
  • NPI 1598157869
  Medicare reassignment NPD
• Susan Bell, NP

  • Family Nurse Practitioner
  • Rockport, ME
  • NPI 1639570310
  Medicare reassignment NPD
• Kirk Patrick Bernadino, MD

  • Gastroenterology Physician
  • Rockport, ME
  • NPI 1871523290
  Medicare reassignment NPD
• Mark Adam Billington, MD

  • Surgery Physician
  • Presque Isle, ME
  • NPI 1194721720
  Medicare reassignment NPD
• G. Parker Chamberlin, MD

  • Otolaryngology Physician
  • Rockport, ME
  • NPI 1811932726
  Medicare reassignment NPD
• Thomas Eugene Crosslin III, M.D.

  • Surgery Physician
  • Rockport, ME
  • NPI 1376779934
  Medicare reassignment NPD
• Kevin I Davey, M.D.

  • Internal Medicine Physician
  • Waldoboro, ME
  • NPI 1508977323
  Medicare reassignment NPD
• Alexandra L Degenhardt

  • Neurology Physician
  • Rockport, ME
  • NPI 1649378829
  Medicare reassignment NPD
• Sarah L Dingle, FNP-C

  • Family Nurse Practitioner
  • Rockport, ME
  • NPI 1730282385
  Medicare reassignment NPD
• Kristin J Dobbins, N.P.

  • Family Nurse Practitioner
  • Rockport, ME
  • NPI 1568564086
  Medicare reassignment NPD
• Mark Peter Eggena, MD

  • Infectious Disease Physician
  • Rockport, ME
  • NPI 1235108580
  Medicare reassignment NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497799720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GLEN COVE DR",
            "address_2": "SUITE 2",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564232",
            "telephone_number": "207-596-8910",
            "fax_number": "207-593-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GLEN COVE DR",
            "address_2": "SUITE 2",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564232",
            "telephone_number": "207-596-8910",
            "fax_number": "207-593-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENOBSCOT BAY PHYSICIANS & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FALLER",
        "authorized_official_first_name": "LYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-596-8903"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penobcot Bay Medical Center
• Penobscot Bay Chiropractic, LLC
• Penobscot Bay Medical Center
• Penobscot Bay Medical Center
• Penobscot Bay Pathology Associates, LLC
• McKim C Peterson, M. D.
• Kathleen Philbrick, NP
• Rachel Marie Picone, CNP
• Iride Piechocki, PSYD
• Eric Pier, DDS

• Multi-Specialty Clinic/Center in Rockport, ME
• Providers in Rockport, ME by specialty
• Multi-Specialty Clinic/Center in Maine

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.