Healthcare Provider Details

I. General information

NPI: 1972955805
Provider Name (Legal Business Name): AMY PLASENCIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMY SATER MD

II. Dates (important events)

Enumeration Date: 07/03/2016
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MAIN ST
LEWISTON ME
04240-7027
US

IV. Provider business mailing address

300 MAIN ST
LEWISTON ME
04240-7027
US

V. Phone/Fax

Practice location:
  • Phone: 207-725-9065
  • Fax:
Mailing address:
  • Phone: 207-725-9065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD30239
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number309127
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: