Vance a Aloupis Mdpa

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

R024428 Issued in ME

Legal business name

VANCE A ALOUPIS MDPA

Practice address

792 State St
Bangor, ME 04401-5610

Phone

(207) 947-6508

NPI assigned

Nov 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vance A Aloupis, MDNPI 1205877701

Title

President

Phone

(207) 947-6508

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Tax ID family

Medlab7923 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Medlab792

  • Clinical Medical Laboratory
  • Bangor, ME
  • NPI 1316196264
  NPD tax ID
• Vance a. Aloupis MD PA

  • Specialist
  • Bangor, ME
  • NPI 1508263112
  NPD tax ID

Practitioners 1

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

• Vance A Aloupis, M.D.

  • Legal Medicine
  • Bangor, ME
  • NPI 1205877701
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1629257159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015610",
            "telephone_number": "207-947-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015610",
            "telephone_number": "207-947-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE A ALOUPIS MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "ALOUPIS",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-947-6508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "ME",
            "license": "007472",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "ME",
            "license": "014706",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ME",
            "license": "20D0684479",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "R024428",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ME",
            "license": "AP081724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "25765",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Valley
• Valor Recovery LLC
• Carmen Jean Van Dusen, FNP
• Timothy Douglas Van Sickle
• John F Vanadia, DO
• Vance a. Aloupis MD PA
• Lori Vandeventer
• Vanidestine Chiropractic, Inc
• Thomas J Vanidestine Jr., DC, CCSP
• Ellen Vanvranken

• Surgical Physician Assistant in Bangor, ME
• Providers in Bangor, ME by specialty
• Surgical Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.