Penbay X-Ray Associates, PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PENBAY X-RAY ASSOCIATES, PA

Practice address

6 Glen Cove Dr
Rockport, ME 04856-4240

Phone

(207) 596-8000

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Bruce Leiter, M.D.NPI 1306840806

Title

President

Phone

(207) 784-2554

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Bruce E Leiter, M.D.

  • Diagnostic Radiology Physician
  • Rockport, ME
  • NPI 1306840806
  NPD (past) Authorized official

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1750385126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-783-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564240",
            "telephone_number": "207-596-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENBAY X-RAY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "LEITER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-784-2554",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105270000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pen Bay Womens Imaging Specialists
• Penbay Anesthesia, LLC
• Penbay Dental LLC
• Penbay Neurology, P.a.
• Penbay Pathology
• Penobcot Bay Medical Center
• Penobscot Bay Chiropractic, LLC
• Penobscot Bay Medical Center
• Penobscot Bay Medical Center
• Penobscot Bay Pathology Associates, LLC

• Diagnostic Radiology Physician in Rockport, ME
• Providers in Rockport, ME by specialty
• Diagnostic Radiology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.