Dr. John Manley Roberts , MD
Specialist • Bangor, ME
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Roberts has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Roberts, MD was a registered Specialist practicing in Bangor, ME. Throughout an active medical career spanning 15 years, Dr. Roberts provided care at the practice location at 404 STATE ST until profile deactivation on 2020-10-05.
Practice Location & Contact Primary Location
404 State St
Bangor, ME 044016623
Specialty Benchmarks & Practice Insights
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Practicing in Bangor, ME (267 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
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Record deactivated on October 05, 2020
NPI status registered as active in NPPES database
Registered at 404 STATE ST, BANGOR, ME 044016623 (Tel: 2079453496)
Registered at 404 STATE ST, BANGOR, ME 044016623 (Tel: 2079453496)
Recorded as JOHN ROBERTS, MD
Specialist (License #013468 in ME)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
404 State St
Bangor, ME 044016623
Phone: 2079453496
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