Active NPI
George Eyerer, M.D.
- Specialist
- Bangor, ME
National Provider Identifier
1881610822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12405
- Practice address
- 417 State St Ste 439
Bangor, ME 04401-6635 - Phone
- (207) 561-2400
- Fax
- (207) 990-4848
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12405 | ME | Primary |
Addresses
Primary practice location
417 State St Ste 439
Bangor, ME 04401-6635
Mailing address
417 State St Ste 439
Bangor, ME 04401-6635
Phone (207) 561-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881610822 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12405 | ME | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1881610822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 STATE ST STE 439",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016635",
"telephone_number": "207-561-2400",
"fax_number": "207-990-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 STATE ST STE 439",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016635",
"telephone_number": "207-561-2400",
"fax_number": "207-990-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EYERER",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "12405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881610822",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.