PINE TREE WHOLISTIC HEALTH – Interventional Pain Medicine Physician, NPI 1922467596

PINE TREE WHOLISTIC HEALTH is a healthcare provider. based in Bangor, Maine. specializing in Interventional Pain Medicine Physician. The NPI Number for PINE TREE WHOLISTIC HEALTH is 1922467596

Main info

Organization
Name
PINE TREE WHOLISTIC HEALTH
NPI
1922467596
Phone
(207) 942-2800
Address
336 MOUNT HOPE AVE
Authorized Official
DR. THOMAS J VANIDESTINE JR. PRESIDENT DC,CCSP
Enumeration Date
11 February 2016
Last Update Date
11 February 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

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Provider Addresses for PINE TREE WHOLISTIC HEALTH

  • 336, Mount Hope Avenue, Chapin Park (Tree Streets), Bangor, Penobscot County, Maine, 04401, United States

    SUITE 11

    BANGOR, ME 044014236

    Phone: (207) 942-2800

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04401)

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Reviews

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Frequently asked questions

What is PINE TREE WHOLISTIC HEALTH's NPI number?
PINE TREE WHOLISTIC HEALTH's NPI is 1922467596 — the number used across U.S. healthcare to identify this provider.
Is PINE TREE WHOLISTIC HEALTH still an active registrant?
PINE TREE WHOLISTIC HEALTH carries an active NPI according to the public dataset.
What kind of doctor is PINE TREE WHOLISTIC HEALTH?
PINE TREE WHOLISTIC HEALTH is associated with Interventional Pain Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for PINE TREE WHOLISTIC HEALTH?
Travel planning: use Bangor, Maine as the reference point for PINE TREE WHOLISTIC HEALTH, then confirm.
When was this NPI issued?
Enumeration for PINE TREE WHOLISTIC HEALTH is noted as February 11, 2016 where the registry provides it.

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