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

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

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: July 19, 2026.

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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