Provider Demographics
NPI:1437153293
Name:ASKINS, P. GREGORY (MD)
Entity Type:Individual
Prefix:
First Name:P. GREGORY
Middle Name:
Last Name:ASKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-2652
Mailing Address - Country:US
Mailing Address - Phone:207-947-8381
Mailing Address - Fax:207-947-6056
Practice Address - Street 1:78 RIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-2652
Practice Address - Country:US
Practice Address - Phone:207-947-8381
Practice Address - Fax:207-947-6056
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME01254207X00000X
MEMD125142086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
B86455OtherHP
00303OtherANTHEM
1041507OtherAETNA
904003OtherUNITED HEALTH CARE
200009583OtherRR MEDICARE
ME326150099Medicaid
M53272OtherCIGNA
1041507OtherAETNA
B86455OtherHP