NORTHEAST SURGERY, P.A.
NPI 1457489106
Surgery in Bangor, ME

Q: What is Northeast Surgery, P.A.'s NPI number?

The NPI number for Northeast Surgery, P.A. is 1457489106. It was assigned to this organization in the NPPES registry on March 2, 2007.

Q: What is Northeast Surgery, P.A.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since March 02, 2007

417 STATE ST STE 330, BANGOR, ME 04401(207) 947-5241(207) 973-8880 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Northeast Surgery, P.a. NPPES

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

NORTHEAST SURGERY, P.A. (NPI 1457489106) is a healthcare organization registered as a surgery in Bangor, Maine and active in the NPI registry since March 2007. The organization lists Carolyn Fetha, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1457489106

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameNORTHEAST SURGERY, P.A.

Location Address417 STATE ST STE 330Bangor, ME 04401-6638

Mailing Address417 State St Ste 330Bangor, ME 04401-6638 · (207) 947-5241 · Fax (207) 973-8880

Phone(207) 947-5241

Fax(207) 973-8880

Organization SubpartNo

Authorized OfficialCarolyn FethaPractice Manager · (207) 947-5241

Enumeration DateMarch 2, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1457489106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

417 STATE ST STE 330, Bangor, ME 04401

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN D KOZUSKO MD, MED

Surgery (Plastic and Reconstructive Surgery)