OrganizationActive
Evergreen Gynecology Associates, P.A.
NPI 1629154463 · Gynecology Physician · Bangor, ME
Provider details
- NPI number
- 1629154463
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jane Laeger, Owner(207) 947-8658
- License
- 011478 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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
700 Mount Hope Ave
Suite 430
Bangor, ME 04401-5691
Phone: (207) 947-8658
Fax: (207) 947-4440
Street-level locationGet directions
Mailing address
700 Mount Hope Ave
Bangor, ME 04401-5691
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2013-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.