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MICHAEL A. NISSENBAUM, MD, PA
NPI 1184857716
Radiology - Diagnostic Radiology in Fort Kent, ME

Active since August 31, 2009
194 E MAIN ST, FORT KENT, ME 04743(207) 834-3155 Get Directions Write a Review

NPPES record last updated: August 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael A. Nissenbaum, Md, Pa NPPES

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

MICHAEL A. NISSENBAUM, MD, PA (NPI 1184857716) is a healthcare organization registered as a diagnostic radiology in Fort Kent, Maine and active in the NPI registry since August 2009. The organization lists Michael A Nissenbaum, President/ Owner, as its authorized official.

NPPES Registry Identity

NPI1184857716
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMICHAEL A. NISSENBAUM, MD, PA
Location Address194 E MAIN STFort Kent, ME 04743-1428
Mailing AddressPo Box 1849Lewiston, ME 04241-1849 · (207) 784-2554 · Fax (207) 777-5363
Phone(207) 834-3155
Organization SubpartNo
Authorized OfficialMichael A NissenbaumPresident/ Owner · (207) 834-3155
Enumeration DateAugust 31, 2009
✔ NPI 1184857716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
194 E MAIN ST, Fort Kent, ME 04743
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Other Identifiers 1

Medicaid186740000ME

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTA PELLETIER O.T.
Occupational Therapist
194 E MAIN ST
FORT KENT, ME 04743
Aroostook County (207) 834-3387
LISA E. PELLETIER RNFA
Registered Nurse (Registered Nurse First Assistant)
194 E MAIN ST
FORT KENT, ME 04743
Aroostook County (207) 834-3060
BETSY NADEAU
Social Worker (Clinical)
194 E MAIN ST
FORT KENT, ME 04743
Aroostook County (297) 834-3155
NORTHERN MAINE MEDICAL CENTER
Clinic/Center (Rural Health)
194 E MAIN ST
FORT KENT, ME 04743
Aroostook County (207) 834-3101
ANDREA DAIGLE LMSW-CC
Social Worker (Clinical)
194 E MAIN ST
FORT KENT, ME 04743
Aroostook County (207) 834-3155
ROGELIO JOHN TOBIAS NARANJA JR. MD
Orthopaedic Surgery
194 E MAIN ST
FORT KENT, ME 04743
Aroostook County (207) 834-5912
LINDA HICKS PA-C
Physician Assistant
194 E MAIN ST
FORT KENT, ME 04743
Aroostook County (207) 834-3971
DR. PATRICK OLIVER MITCHELL M.D., PH.D.
Hospitalist
194 E MAIN ST
FORT KENT, ME 04743
Aroostook County (207) 834-3155

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 Michael A. Nissenbaum, MD, PA's NPI number?

The NPI number for Michael A. Nissenbaum, MD, PA is 1184857716. It was assigned to this organization in the NPPES registry on August 31, 2009.

Where is Michael A. Nissenbaum, MD, PA located?

Michael A. Nissenbaum, MD, PA is located at 194 E Main St, Fort Kent, ME 04743. The listed phone number is (207) 834-3155.

What is Michael A. Nissenbaum, MD, PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Michael A. Nissenbaum, MD, PA was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.