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MR. JUDE I TARDY P.A.
NPI 1508822586
Physician Assistant - Surgical in Bangor, ME

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
417 STATE ST, SUITE 330, BANGOR, ME 04401(207) 973-8881(207) 973-8880 Get Directions Write a Review

NPPES record last updated: October 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2017, Dec 14, 2016 (2 updates tracked since 2016).

About Mr. Jude I Tardy P.a. NPPES

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

MR. JUDE I TARDY P.A. (NPI 1508822586) is an individual surgical provider in Bangor, Maine, licensed in Maine (PA699) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1508822586
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JUDE I TARDYCredential: P.A.
Location Address417 STATE ST, SUITE 330Bangor, ME 04401-6630
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006
Phone(207) 973-8881
Fax(207) 973-8880
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 26, 2006
Last NPPES UpdateOctober 18, 20172 updates tracked since enumeration
✔ NPI 1508822586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ME · PA699
417 STATE ST, Bangor, ME 04401
Open in Google Maps ↗

Other Identifiers 1

Medicaid266110099ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jude I Tardy P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567532260
PECOS Enrollment IDI20080607000013
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

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 Jude Tardy's NPI number?

The NPI number for Jude Tardy is 1508822586. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Jude Tardy located?

Jude Tardy practices at 417 State St Suite 330, Bangor, ME 04401. The listed phone number is (207) 973-8881.

What is Jude Tardy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jude Tardy enrolled in Medicare?

Yes. Jude Tardy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jude Tardy affiliated with any hospitals?

According to CMS data, Jude Tardy is affiliated with Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Jude Tardy was last updated on October 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.