1. Home
  2. Directory
  3. Maine
  4. Bangor
  5. Dermatology
  6. NPI Profile

NORTHERN MAINE SKIN CANCER CENTER PLLC
NPI 1063198554
Dermatology in Bangor, ME

Active since June 27, 2023CLIA 20D2295350 · Certificate of Compliance
117 BROADWAY STE 3, BANGOR, ME 04401(207) 802-0853(207) 419-2545 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northern Maine Skin Cancer Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN MAINE SKIN CANCER CENTER PLLC (NPI 1063198554) is a healthcare organization registered as a dermatology in Bangor, Maine and active in the NPI registry since June 2023. The organization holds a CLIA Certificate of Compliance certificate valid through September 25, 2026 and lists Faith Whalen, Owner, as its authorized official.

NPPES Registry Identity

NPI1063198554
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTHERN MAINE SKIN CANCER CENTER PLLC
Location Address117 BROADWAY STE 3Bangor, ME 04401-5205
Mailing Address117 Broadway Ste 3Bangor, ME 04401-5205
Phone(207) 802-0853
Fax(207) 419-2545
Organization SubpartNo
Authorized OfficialFaith WhalenOwner · (415) 802-1310
Enumeration DateJune 27, 2023
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1063198554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
117 BROADWAY STE 3, Bangor, ME 04401
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 20D2295350

Northern Maine Skin Cancer Center, PLLC · Bangor, ME
Active · expires Sep 25, 2026
CLIA Number20D2295350
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorFaith M. Whalen
Laboratory Phone(207) 802-0853
Laboratory LocationNorthern Maine Skin Cancer Center, PLLC117 Broadway Suite 3, Bangor, ME 04401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Maine Skin Cancer Center PLLC's NPI number?

The NPI number for Northern Maine Skin Cancer Center PLLC is 1063198554. It was assigned to this organization in the NPPES registry on June 27, 2023.

Where is Northern Maine Skin Cancer Center PLLC located?

Northern Maine Skin Cancer Center PLLC is located at 117 Broadway Ste 3, Bangor, ME 04401. The listed phone number is (207) 802-0853.

What is Northern Maine Skin Cancer Center PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Northern Maine Skin Cancer Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 20D2295350) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northern Maine Skin Cancer Center PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Northern Maine Skin Cancer Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northern Maine Skin Cancer Center PLLC was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.