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EVERGREEN GYNECOLOGY ASSOCIATES, P.A.
NPI 1629154463
Obstetrics & Gynecology - Gynecology in Bangor, ME

Active since October 27, 2006
700 MOUNT HOPE AVE, SUITE 430, BANGOR, ME 04401(207) 947-8658(207) 947-4440 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Gynecology Associates, P.a. NPPES

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

EVERGREEN GYNECOLOGY ASSOCIATES, P.A. (NPI 1629154463) is a healthcare organization registered as a gynecology in Bangor, Maine and active in the NPI registry since October 2006. The organization lists Jane N. Laeger, Owner, as its authorized official.

NPPES Registry Identity

NPI1629154463
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameEVERGREEN GYNECOLOGY ASSOCIATES, P.A.
Location Address700 MOUNT HOPE AVE, SUITE 430Bangor, ME 04401-5691
Mailing Address700 Mount Hope Ave, Suite 430Bangor, ME 04401-5691 · (207) 947-8658
Phone(207) 947-8658
Fax(207) 947-4440
Organization SubpartNo
Authorized OfficialJane N. LaegerOwner · (207) 947-8658
Enumeration DateOctober 27, 2006
Last NPPES UpdateOctober 16, 2013
✔ NPI 1629154463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in ME · 011478
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
700 MOUNT HOPE AVE, Bangor, ME 04401
Open in Google Maps ↗

Other Identifiers 7

Other726446ME · Aetna
Medicare ID-Type UnspecifiedMM0369ME · Medicare Ind
Other000697ME · Anthem
Medicare UPINB86316ME
OtherM63911ME · Cigna
Medicare ID-Type Unspecified015400ME · Medicare Group
Medicaid115880000ME

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

PAUL A. SHAPERO, M.D., P.A.
Allergy & Immunology
700 MOUNT HOPE AVE, SUITE 430
BANGOR, ME 04401
Penobscot County (207) 947-8658
ANDREA RICHARDS LCPC
Counselor (Mental Health)
700 MOUNT HOPE AVE, SUITE 320
BANGOR, ME 04401
Penobscot County (207) 249-8231
PENOBSCOT SURGICAL CARE, P.A.
Surgery
700 MOUNT HOPE AVE, SUITE 620
BANGOR, ME 04401
Penobscot County (207) 947-1333
DR. PAUL ALAN SHAPERO MD
Allergy & Immunology
700 MOUNT HOPE AVE, SUITE 430
BANGOR, ME 04401
Penobscot County (207) 947-8658
MRS. STACIE R DEVEAU EDSPEC
Psychologist (School)
700 MOUNT HOPE AVE, SUITE 680 EVERGREEN WOODS
BANGOR, ME 04401
Penobscot County (207) 942-9305
DAVID J RAWCLIFFE DO
Family Medicine
700 MOUNT HOPE AVE, SUITE 210
BANGOR, ME 04401
Penobscot County (207) 907-3030
UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Dental Hygienist
700 MOUNT HOPE AVE, SUITE 320
BANGOR, ME 04401
Penobscot County (207) 941-2952
UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Community/Behavioral Health
700 MOUNT HOPE AVE, SUITE 320
BANGOR, ME 04401
Penobscot County (207) 941-2952

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 Evergreen Gynecology Associates, P.A.'s NPI number?

The NPI number for Evergreen Gynecology Associates, P.A. is 1629154463. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Evergreen Gynecology Associates, P.A. located?

Evergreen Gynecology Associates, P.A. is located at 700 Mount Hope Ave Suite 430, Bangor, ME 04401. The listed phone number is (207) 947-8658.

What is Evergreen Gynecology Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Evergreen Gynecology Associates, P.A. was last updated on October 16, 2013. 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.