Healthcare Provider Details

I. General information

NPI: 1134173370
Provider Name (Legal Business Name): CRAIG B. CADE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 BAR HARBOR RD
TRENTON ME
04605-5807
US

IV. Provider business mailing address

140 ACADEMY ST
PRESQUE ISLE ME
04769-3180
US

V. Phone/Fax

Practice location:
  • Phone: 207-667-5899
  • Fax: 207-801-5123
Mailing address:
  • Phone: 207-768-4100
  • Fax: 207-768-4014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4641
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberLT06020
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: