Active NPI
Angela Rosalia Banks Paulino, MD
- Internal Medicine Physician
- Skowhegan, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD25815
- Practice address
- 46 Fairview Ave Ste 111
Skowhegan, ME 04976-1481 - Phone
- (207) 474-0905
- Fax
- (207) 474-6930
- NPI assigned
- Jun 23, 2018
- Last updated
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | MD25815 | ME | Primary |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD25815 | ME |
Addresses
Primary practice location
46 Fairview Ave Ste 111
Skowhegan, ME 04976-1481
Mailing address
PO Box 468
Skowhegan, ME 04976-0468
Phone (207) 474-0905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25815 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redington-Fairview General Hospital | Current | Accepting new patients | |
| Redington-Fairview General Hospital | Hospice and Palliative Medicine | Current | Accepting new patients |
| Woodlands Senior Living of Madison LLC | Past | Accepting new patients |
Locations
46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293
46 Fairview Ave
Ste 111
Skowhegan, ME 04976
Phone (207) 474-3320
Interoperability endpoints
- angela.banks-paulino@rmpc.direct.rfgh.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Skowhegan, ME
- NPI 1174549133
-
dba Inland Family Care - Madison/Skowhegan
- Rural Health Clinic/Center
- Madison, ME
- NPI 1851423008
Hospice and Palliative Medicine
-
dba Woodlands Memory Care of Madison
- Alzheimer Center (Dementia Center)
- Waterville, ME
- NPI 1710440714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1942795885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 468",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049760468",
"telephone_number": "207-474-0905",
"fax_number": "207-474-6930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 FAIRVIEW AVE STE 111",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049761481",
"telephone_number": "207-474-0905",
"fax_number": "207-474-6930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS PAULINO",
"first_name": "ANGELA",
"middle_name": "ROSALIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-23",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD25815",
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "ME",
"license": "MD25815",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skowhegan, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.