- Practice location
- 6 Glen Cove Dr, Rockport, ME 04856-4272
- Phone
- 207-301-8000
- Fax
- —
- Last updated
- February 21, 2025
Jennifer O Mytar is an Anesthesiology based in Rockport, ME. Jennifer O Mytar practices in Rockport, ME and has the professional credentials of DO. The NPI Number for Jennifer O Mytar is 1841610714 and holds a License No. 0102205171 (VA). The current practice location address for Jennifer O Mytar is 6 Glen Cove Dr, Rockport, ME 04856-4272 and can be reached out via phone at 207-301-8000.
Provider Profile Details
- NPI Number
- 1841610714
- Provider Name
- Jennifer O Mytar
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6 Glen Cove Dr, Rockport, ME 04856-4272
- Phone Number
- 207-301-8000
- Primary Taxonomy
- Anesthesiology · 207L00000X
- Sole Proprietor
- Yes
- Other Names
- Jennifer O Mytar-Li, DO (Former Name)
- Provider Enumeration Date
- April 18, 2014
- Last Update Date
- February 21, 2025
- Certification Date
- February 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Glen Cove Dr
Rockport, ME 04856-4272 - City
- Rockport
- State
- Maine
- Zip
- 04856-4272
- Phone Number
- 207-301-8000
Provider Business Mailing Address Details
- Address
- 6 Glen Cove Dr
Rockport, ME 04856-4272 - City
- Rockport
- State
- ME
- Zip
- 04856-4272
- Phone Number
- 207-301-8000
License Information
- License Number (1)
- 0102205171
- License State (1)
- VA
- Taxonomy (1)
- Anesthesiology · 207L00000X
- License Number (2)
- 58.005415
- License State (2)
- OH
- Taxonomy (2)
- Internal Medicine · 207R00000X
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (4)
- DO2956
- License State (4)
- ME
- Taxonomy (4)
- Anesthesiology · 207L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Anesthesiology providers near Rockport, ME
View all Anesthesiology providers in Rockport →- David Maddox, MDAnesthesiology · NPI 1801872817
- Dr. Michael K Gowesky, MDAnesthesiology · NPI 1093756777
- Mrs. Maura J Adams, MDAnesthesiology · NPI 1851364467
- Paul F Barresi, MDAnesthesiology · NPI 1770503476
- Penbay Anesthesia, LLCAnesthesiology · NPI 1629054663
- Robert F Legendre Jr., MDAnesthesiology · NPI 1114903903
Frequently Asked Questions
What is the NPI number of Jennifer O Mytar, DO?
The NPI number of Jennifer O Mytar, DO is 1841610714. It was assigned on April 18, 2014 and is currently active in the NPPES registry.
What is the specialty of Jennifer O Mytar, DO?
Jennifer O Mytar, DO is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in VA under license number 0102205171.
Where does Jennifer O Mytar, DO practice?
The practice location is 6 Glen Cove Dr, Rockport, ME 04856-4272. The office can be reached at 207-301-8000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841610714 directly on the NPPES registry website.