Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Tivnan, DO

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1518315142

John Tivnan, DO is an Interventional Pain Management in Bangor, Maine. Graduated from University of New England, College of Osteo Medicine in 2016, 10 years ago. Practices with Northeast Pain Management PC, a 12-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
10
Trained at
University of New England, College of Osteo Medicine
Licensed in
ME
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1365 Broadway
Bangor, ME 04401-2401
Phone: (207) 942-6226
Fax: (207) 992-2756
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence DO3257 (ME)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence DO3257 (ME)

Record details

NPI number1518315142
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 24, 2016
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address1365 Broadway, Bangor, ME 04401-2401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2016 (10 years in practice)
Group practice Northeast Pain Management Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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