PHILLIP B. AMIDON MD – NPI #1235222043
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

PHILLIP AMIDON is a physician located in BANGOR, ME. NPPES has assigned the NPI number 1235222043 to PHILLIP AMIDON on October 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 10 years ago on Feb 26, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHILLIP AMIDON below.

NPI Profile for
PHILLIP B. AMIDON

NPI Number
1235222043
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILLIP B. AMIDON
Credentials
MD
Primary location
417 STATE STREET, SUITE 121
GASTROENTEROLOGY CENTER OF MAINE
BANGOR, ME 04401
Phone: (207) 973-4266 Fax:
Mailing address
447 NORTH MAIN STREET
SEBASTICOOK VALLEY HEALTH
PITTSFIELD, ME 04967
Phone: (207) 487-5261 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for PHILLIP AMIDON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDME269040099
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
ME 008744

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.