PENOBSCOT PEDIATRICS
NPI 1568555498
Clinic/Center - Federally Qualified Health Center (FQHC) in Bangor, ME

NPI Status: Active since October 02, 2006

Contact Information

6 TELCOM DR
BANGOR, ME
ZIP 04401
Phone: (207) 947-0147
Fax: (207) 990-3365

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About PENOBSCOT PEDIATRICS

This page provides the complete NPI Profile along with additional information for Penobscot Pediatrics, a primary care provider established in Bangor, Maine operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1568555498 assigned on October 2006. The practitioner's primary taxonomy code is 261QF0400X with license number 201872 (ME). The provider is registered as an organization and their NPI record was last updated 6 years ago. Penobscot Pediatrics operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Penobscot Pediatrics. The authorized official of this NPI record is Lori L. Dwyer Esq. (President & Ceo)

NPI
1568555498
Provider Legal Name
PENOBSCOT COMMUNITY HEALTH CENTER
Other Organization Name
PENOBSCOT PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6 TELCOM DR BANGOR, ME 04401
Location Phone
(207) 947-0147
Location Fax
(207) 990-3365
Mailing Address
PO BOX 1599 103 MAINE AVE BANGOR, ME 04402
Mailing Phone
(207) 945-5247
Mailing Fax
(207) 990-3365
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-02-2006
Last Update Date
11-07-2019
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A primary care provider (PCP) like Penobscot Pediatrics sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
201872
License State
ME

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LORI L. DWYER ESQ.

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(207) 992-9200

Reviews for PENOBSCOT PEDIATRICS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568555498
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512810510418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 0 + 5 + 1 + 0 + 4 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1568555498 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801235023PENOBSCOT COMMUNITY HEALTH CENTER
Organization
Clinic/Center (Urgent Care)6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147
1285685628PENOBSCOT COMMUNITY HEALTH CENTER
Organization
Clinic/Center (Hearing and Speech)6 TELCOM DR
BANGOR, ME 04401
(207) 941-2850
1124408059 MORGAN FRANCES BENTER PA-C
Individual
Physician Assistant6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147
1962507236 KRISTEN S MARTIN DO
Individual
Pediatrics6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147
1366547630 MARGIE N DICKENS PHD
Individual
Psychologist (Clinical)6 TELCOM DR
BANGOR, ME 04401
(207) 945-5247
1558438531 ADRIENNE W CARMACK MD
Individual
Pediatrics6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147
1700025624 ELLEN F LAUER DO
Individual
Pediatrics6 TELCOM DR
BANGOR, ME 04401
(207) 992-2152
1356660377 DIANE M HALL LCPC
Individual
Counselor (Mental Health)6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147
1245650605 AIMEE J BEATON DO
Individual
Pediatrics6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147
1033453949 MERRI-BETH BUMPUS LCSW
Individual
Social Worker (Clinical)6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147
1164913117 KATHRYN A FOLEY FNPC
Individual
Nurse Practitioner6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147
1255678553 MELLISA A BERNARDINI RD
Individual
Dietitian, Registered6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147
1699067553 NICOLE L DUNCAN AUD
Individual
Audiologist6 TELCOM DR
BANGOR, ME 04401
(207) 941-2850
1922483973 SYDNEY L KOTREDES PNPC
Individual
Nurse Practitioner (Pediatrics)6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147
1871106047 CARLA M WHITE AUD
Individual
Audiologist6 TELCOM DR
BANGOR, ME 04401
(207) 941-2850
1821094897 PEGGY D CLARK SLP
Individual
Speech-Language Pathologist6 TELCOM DR
BANGOR, ME 04401
(207) 941-2850
1194062901 KAREN L GARDNER LCSW
Individual
Social Worker (Clinical)6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147
1215507488 THAI SEAN VINH
Individual
Pharmacy Technician6 TELCOM DR
BANGOR, ME 04401
(714) 487-2914
1073112561 IVY A G TODD PNPC
Individual
Nurse Practitioner (Pediatrics)6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147
1982242426 MICHELLE L GRAVES PNPC
Individual
Nurse Practitioner (Pediatrics)6 TELCOM DR
BANGOR, ME 04401
(207) 947-0147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568555498, enumerated in the NPI registry as an "organization" on October 02, 2006

The provider is located at 6 Telcom Dr Bangor, Me 04401 and the phone number is (207) 947-0147

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

This NPI record was last updated on October 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.