| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1457560419 | BENNETT | TRACY | M | | C/OST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1992286546 | BLACKWOOD | ROYCE | | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1033436233 | GOMEZ VALENCIA | PEDRO | PABLO | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1265402242 | PELLEGRINI | JOANMARIE | DIETZ | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1578509535 | RYDELL | DAVID | JAMES | | 700 MOUNT HOPE AVE | BANGOR | ME | 044015691 |
| 1801859913 | STARKS | MICHAEL | RAY | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1497818868 | VANADIA | JOHN | F | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1922021401 | WELCH | KEIVER | T | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |