Individual
MR. JOHN S CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 MEDICAL CENTER PKWY STE 201, AUGUSTA, ME 04330-8160
(207) 622-1959
(207) 430-4007
Mailing address
35 MEDICAL CENTER PKWY STE 201, AUGUSTA, ME 04330-8160
(207) 622-1959
(207) 430-4007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2358
ME
207L00000X
Anesthesiology Physician
Primary
2358
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004290293
AETNA
ME
01
—
027707
ANTHEM BLUE SHIELD
ME
01
—
1900009004
PBA RAILROAD MEDICARE
ME
05
—
195720199
—
ME
01
—
CIGNA
1538057
ME
Enumeration date
08/10/2005
Last updated
12/11/2013
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