Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Evergreen Gynecology Associates, P.A.

Gynecology Physician in Bangor, ME · enumerated 2006 · authorized official Jane Laeger, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629154463

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Registry record

Entity type Organization (Type 2)

Legal business name Evergreen Gynecology Associates, P.A.

Practice address 700 Mount Hope Ave, Suite 430, Bangor, ME, 04401

Phone (207) 947-8658

Fax (207) 947-4440

Enumeration date Oct 27, 2006

Last updated in NPPES Oct 16, 2013

Taxonomy & classification

207VG0400X Gynecology Physician Allopathic & Osteopathic Physicians · License 011478 (ME) Primary

Authorized official

Name Jane Laeger

Title Owner

Phone (207) 947-8658

Other identifiers

Identifier	Type	State	Issuer
115880000	Medicaid	ME	-
000697	Other	ME	ANTHEM
M63911	Other	ME	CIGNA
726446	Other	ME	AETNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Evergreen Gynecology Associates, P.A.?

Evergreen Gynecology Associates, P.A. is registered in NPPES as a Gynecology Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-10-16.