OrganizationActive
Northeast Surgery, P.A.
NPI 1457489106 · Surgery Physician · Bangor, ME
Northeast Surgery, P.A. is a Surgery Physician organization in Bangor, ME (NPI 1457489106).
Provider details
- NPI number
- 1457489106
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carolyn Fetha, Practice Manager(207) 947-5241
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
417 State St Ste 330
Bangor, ME 04401-6638
Phone: (207) 947-5241
Fax: (207) 973-8880
Street-level locationGet directions
Mailing address
417 State St Ste 330
Bangor, ME 04401-6638
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Northeast Surgery, P.A.'s NPI number?
- Northeast Surgery, P.A.'s National Provider Identifier (NPI) is 1457489106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Surgery, P.A.?
- Northeast Surgery, P.A. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Northeast Surgery, P.A. located?
- Northeast Surgery, P.A.'s practice location on file with NPPES is 417 State St Ste 330, Bangor, ME 04401-6638.
- What is Northeast Surgery, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Northeast Surgery, P.A. is (207) 947-5241.
- Who is the authorized official for Northeast Surgery, P.A.?
- The authorized official listed on Northeast Surgery, P.A.'s NPPES record is Carolyn Fetha, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Surgery, P.A.'s NPI active?
- Yes — Northeast Surgery, P.A.'s NPI (1457489106) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.