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DOUGLAS LEE KAVANAUGH PA-C
NPI 1447201165
Physician Assistant - Medical in Bangor, ME

Active since May 15, 2006
1 NORTHEAST DR, EMMC - NORTHEAST CARDIOLOGY ASSOCIATES, BANGOR, ME 04401(207) 275-3800(207) 275-3803 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 12, 2016, Dec 9, 2015 (2 updates tracked since 2015).

About Douglas Lee Kavanaugh Pa-c NPPES

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

DOUGLAS LEE KAVANAUGH PA-C (NPI 1447201165) is an individual medical provider in Bangor, Maine, licensed in Maine (PA561) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1447201165
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDOUGLAS LEE KAVANAUGHCredential: PA-C
Location Address1 NORTHEAST DR, EMMC - NORTHEAST CARDIOLOGY ASSOCIATESBangor, ME 04401
Mailing Address43 Whiting Hill RdBrewer, ME 04412 · (207) 973-5035
Phone(207) 275-3800
Fax(207) 275-3803
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateJanuary 12, 20162 updates tracked since enumeration
✔ NPI 1447201165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ME · PA561
1 NORTHEAST DR, Bangor, ME 04401
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedAP1112ME

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. ROBERT P ROSENTHAL MD
Internal Medicine (Cardiovascular Disease)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 947-4940
NORTHEAST CARDIOLOGY ASSOCIATES
Internal Medicine (Cardiovascular Disease)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 947-4940
CHERYLL F COTE FNP-C
Nurse Practitioner
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 947-4940
TORRI GIBSON
Nurse Practitioner (Family)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 947-4940
DR. ROBERT M. HOFFMANN MD
Internal Medicine (Cardiovascular Disease)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 275-3800
FAHAD ALSINDI M.D.
Internal Medicine (Cardiovascular Disease)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 275-3800
NIKOLAUS THOMAS HURLEY PA-C
Physician Assistant (Medical)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 275-3800
JULIE JOAN EASTMAN FNP
Nurse Practitioner (Family)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 275-3800

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 Douglas Kavanaugh's NPI number?

The NPI number for Douglas Kavanaugh is 1447201165. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Douglas Kavanaugh located?

Douglas Kavanaugh practices at 1 Northeast Dr Emmc - Northeast Cardiology Associates, Bangor, ME 04401. The listed phone number is (207) 275-3800.

What is Douglas Kavanaugh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Douglas Kavanaugh was last updated on January 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.