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CONVENIENTMD LLC
NPI 1679144430
Internal Medicine in Bangor, ME

Active since July 02, 2021CLIA 20D2155397 · Waiver
543 BROADWAY, BANGOR, ME 04401(207) 922-1300 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Convenientmd Llc NPPES

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

CONVENIENTMD LLC (NPI 1679144430) is a healthcare organization registered as an internal medicine in Bangor, Maine and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Jarod Boissonneault, Director Of Revenue Cycle Mgt, as its authorized official.

NPPES Registry Identity

NPI1679144430
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVENIENTMD LLC
Location Address543 BROADWAYBangor, ME 04401-3337
Mailing Address111 Nh AvePortsmouth, NH 03801-2864 · (603) 410-6700
Phone(207) 922-1300
Organization SubpartNo
Authorized OfficialJarod BoissonneaultDirector Of Revenue Cycle Mgt · (603) 319-6223
Enumeration DateJuly 2, 2021
NPPES CertifiedJuly 2, 2021
✔ NPI 1679144430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
543 BROADWAY, Bangor, ME 04401
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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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2155397

Convenientmd Urgent Care · Bangor, ME
Active · expires Jan 16, 2027
CLIA Number20D2155397
Laboratory TypeUrgent Care
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorShamrang Khalsa
Laboratory Phone(207) 922-1300
Laboratory LocationConvenientmd Urgent Care543 Broadway Street, Bangor, ME 04401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MARY WHITE PA
Physician Assistant
543 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 922-1300
CONVENIENTMD - FFS UC LLC
Clinic/Center (Urgent Care)
543 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 922-1300
ANTHONY W POSUNIAK FNP-BC
Nurse Practitioner
543 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 922-1300
KYLIE GIARD FNP
Nurse Practitioner (Family)
543 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 922-1300
KATELYN C SAUCIER FNP-BC
Nurse Practitioner
543 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1300
CHLOE WHITE HANSON FNP-BC
Nurse Practitioner (Family)
543 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 922-1300
TAYLOR J HAUN PA-C
Physician Assistant
543 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 922-1300
PAIGE M DUNN FNP-BC
Nurse Practitioner
543 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 922-1300

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 Convenientmd LLC's NPI number?

The NPI number for Convenientmd LLC is 1679144430. It was assigned to this organization in the NPPES registry on July 2, 2021.

Where is Convenientmd LLC located?

Convenientmd LLC is located at 543 Broadway, Bangor, ME 04401. The listed phone number is (207) 922-1300.

What is Convenientmd LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Convenientmd LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2155397) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Convenientmd LLC was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.