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

Last updated

Aug 22, 2020By the provider in NPPES

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

  dba Outpatient Psychiatry

  • 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, and the practitioner matching its NPPES authorized official.

• 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.