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CHARLES F PATTAVINA MD
NPI 1417973405
Emergency Medicine in Bangor, ME

Active since July 14, 2006
360 BROADWAY, BANGOR, ME 04401(207) 907-3000(207) 907-1921 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2022, May 6, 2021, Dec 5, 2019 and 2 more (5 updates tracked since 2018).

About Charles F Pattavina Md NPPES

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

CHARLES F PATTAVINA MD (NPI 1417973405) is an individual emergency medicine provider in Bangor, Maine, licensed in Maine (MD17854) and active in the NPI registry since July 2006. He maintains a secondary practice location in Bangor.

NPPES Registry Identity

NPI1417973405
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCHARLES F PATTAVINACredential: MD
Location Address360 BROADWAYBangor, ME 04401-3979
Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8560 · Fax (207) 777-8800
Phone(207) 907-3000
Fax(207) 907-1921
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateFebruary 3, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1417973405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ME · MD17854
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
360 BROADWAY, Bangor, ME 04401
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Secondary Practice Location 1

Location 11012 Union StBangor, ME 04401-3060 · Phone (207) 404-8100

Other Identifiers 2

OtherAA55214Harvard Pilgrim Hlthcare
Medicaid3186032MA

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.

JAMES HILDEBRAND M.D.
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1703
THERESA ANNE YOUNG RN
Registered Nurse
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 525-4526
DANE HASSANI MD
Anesthesiology
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1430
LIGA YUSVIRAZI MD
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3283
DR. PEDRO PABLO GOMEZ VALENCIA M.D.
Surgery
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3650
DR. ALGIS VYDAS M.D.
Specialist
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 262-1938
DR. GANESHA SANTHYADKA MD
Internal Medicine (Pulmonary Disease)
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1155
DR. AMINA S QAZI DO, PHARMD
Internal Medicine (Cardiovascular Disease)
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1770

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 Charles Pattavina's NPI number?

The NPI number for Charles Pattavina is 1417973405. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Charles Pattavina located?

Charles Pattavina practices at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-3000.

What is Charles Pattavina's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Charles Pattavina was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.