Active NPI
Careconnectmd Maine PC
- General Practice Physician
- Bangor, ME
National Provider Identifier
1609557156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CARECONNECTMD MAINE PC
- Practice address
- 700 Main St Ste 3
Bangor, ME 04401-6800 - Phone
- (888) 789-9585
- NPI assigned
- Jul 27, 2023
- Last updated
- Jul 27, 2023
- 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
- Hyong Kim, MD
- Title
- Owner
- Phone
- (888) 789-9585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
700 Main St Ste 3
Bangor, ME 04401-6800
Mailing address
3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
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": "1690416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690416000000",
"number": "1609557156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 BRISTOL ST STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MAIN ST STE 3",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016800",
"telephone_number": "888-789-9585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARECONNECTMD MAINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "HYONG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-789-9585",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
- Care Central LLC
- Care Development of Maine (Community Care)
- Care Development of Maine (Community Care)
- Care Development of Maine
- Care Development of Maine (Community Care)
- Joshua Marc Careskey, MD
- Danielle Marie Carey, LCSW, MHRTC
- Leanne Joy Carey, RN
- Caring Companions in Home Care
- Peter Carleton, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.