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JEAN HENDERSON TIBBETTS MD
NPI 1225020480
Specialist in Bangor, ME

Active since August 15, 2005
417 STATE ST, SUITE 230, BANGOR, ME 04401(207) 947-1291(207) 947-9241 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jean Henderson Tibbetts Md NPPES

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

JEAN HENDERSON TIBBETTS MD (NPI 1225020480) is an individual specialist in Bangor, Maine, licensed in Maine (011702) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1225020480
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJEAN HENDERSON TIBBETTSCredential: MD
Location Address417 STATE ST, SUITE 230Bangor, ME 04401-6630
Mailing Address417 State St, Suite 230Bangor, ME 04401-6630 · (207) 947-1291 · Fax (207) 947-9241
Phone(207) 947-1291
Fax(207) 947-9241
Sole ProprietorNo
Enumeration DateAugust 15, 2005
Last NPPES UpdateJanuary 29, 2014
✔ NPI 1225020480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ME · 011702
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.
417 STATE ST, Bangor, ME 04401
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Other Identifiers 3

Medicaid221710099ME
Medicare ID-Type Unspecified015573
Medicare UPINB86423

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.

DR. AMANDA GAIL QUERRY D.O.
Obstetrics & Gynecology
417 STATE ST, WEBBER WEST, SUITE 141
BANGOR, ME 04401
Penobscot County (207) 973-4670
MURRAY DANA LEBOWITZ M.D.
Obstetrics & Gynecology
417 STATE ST, WEBBER WEST SUITE 141
BANGOR, ME 04401
Penobscot County (207) 973-4670
CHUNG HO SHUM M.D., PH.D.
Pathology (Anatomic Pathology & Clinical Pathology)
417 STATE ST, WEBBER WEST 541
BANGOR, ME 04401
Penobscot County (207) 941-8200
MS. ERIKA LYNN BAILEY RPH
Pharmacist
417 STATE ST, SUITE 130
BANGOR, ME 04401
Penobscot County (207) 973-8888
TIMOTHY UNGER
Orthopaedic Surgery (Orthopaedic Trauma)
417 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-4949
KOBE MALIK HAMBY PA-C
Physician Assistant
417 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-9949
THOMAS RAJAN MD
Internal Medicine (Pulmonary Disease)
417 STATE ST, STE 400
BANGOR, ME 04401
Penobscot County (207) 973-8852
DR. FLAVIAN MARK LUPINETTI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
417 STATE ST, SUITE 421
BANGOR, ME 04401
Penobscot County (207) 973-5293

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 Jean Tibbetts's NPI number?

The NPI number for Jean Tibbetts is 1225020480. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Jean Tibbetts located?

Jean Tibbetts practices at 417 State St Suite 230, Bangor, ME 04401. The listed phone number is (207) 947-1291.

What is Jean Tibbetts's specialty?

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

When was this NPI record last updated?

The NPPES record for Jean Tibbetts was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.