IndividualActive
John Tivnan, D.O.
NPI 1518315142 · Interventional Pain Medicine Physician · Bangor, ME
Provider details
- NPI number
- 1518315142
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DO3257 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1365 Broadway
Bangor, ME 04401-2401
Phone: (207) 942-6226
Fax: (207) 992-2756
Approximate (ZIP-level) locationGet directions
Mailing address
1365 Broadway
Bangor, ME 04401-2401
Registry dates
- Enumerated
- 2016-05-24
- Last updated
- 2023-01-17
- Certified
- 2023-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.