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DOWN EAST ORTHOPEDIC ASSOC PA
NPI 1194763110
Specialist in Bangor, ME

Active since June 03, 2006CLIA 20D2007782 · Waiver
78 RIDGEWOOD DR, BANGOR, ME 04401(207) 947-8381(207) 942-5631 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2021, Apr 20, 2018 (2 updates tracked since 2018).

About Down East Orthopedic Assoc Pa NPPES

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

DOWN EAST ORTHOPEDIC ASSOC PA (NPI 1194763110) is a healthcare organization registered as a specialist in Bangor, Maine and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Gerald Merrill, Administrator, as its authorized official.

NPPES Registry Identity

NPI1194763110
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDOWN EAST ORTHOPEDIC ASSOC PA
Location Address78 RIDGEWOOD DRBangor, ME 04401-2652
Mailing Address78 Ridgewood DrBangor, ME 04401-2652 · (207) 947-8381 · Fax (207) 947-1897
Phone(207) 947-8381
Fax(207) 942-5631
Organization SubpartNo
Authorized OfficialGerald MerrillAdministrator · (207) 307-8954
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 16, 20212 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
✔ NPI 1194763110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
78 RIDGEWOOD DR, Bangor, ME 04401
Open in Google Maps ↗

Other Identifiers 2

OtherCF4751ME · Rail Road Medicare Group
Medicaid105820000ME

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Waiver 20D2007782

Down East Orthopedic Associates, PA · Bangor, ME
Active · expires May 25, 2028
CLIA Number20D2007782
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorDr. Stephen Walsh MD
Laboratory Phone(207) 947-8381
Laboratory LocationDown East Orthopedic Associates, PA78 Ridgewood Drive, Bangor, ME 04401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

INDEPENDENT MEDICAL ASSOCIATES, PA
Family Medicine
78 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 947-0768
DANIELLE MARIE ST ONGE PA-C
Physician Assistant
78 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 307-8904
DR. CAMERON LEE TRUBEY MD
Family Medicine (Sports Medicine)
78 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 307-8908
JASON E LANG M.D.
Orthopaedic Surgery
78 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 307-8902
ELIZABETH CARROLL TRUELOVE MD
Orthopaedic Surgery (Hand Surgery)
78 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 947-8381
TRAVIS WRIGHT
Orthopaedic Surgery (Hand Surgery)
78 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 307-8954
DR. STEPHEN M WALSH MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
78 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 307-8901
JESSICA LUCAS DO
Family Medicine
78 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 947-8381

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 Down East Orthopedic Assoc PA's NPI number?

The NPI number for Down East Orthopedic Assoc PA is 1194763110. It was assigned to this organization in the NPPES registry on June 3, 2006.

Where is Down East Orthopedic Assoc PA located?

Down East Orthopedic Assoc PA is located at 78 Ridgewood Dr, Bangor, ME 04401. The listed phone number is (207) 947-8381.

What is Down East Orthopedic Assoc PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Down East Orthopedic Assoc PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2007782) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Down East Orthopedic Assoc PA was last updated on July 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.