Active NPI
Jimmie J Woodlee, PA
- Family Medicine Physician
- Waterville, ME
National Provider Identifier
1003869801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PA 008
- Practice address
- 4460 Mayflower Hill
Waterville, ME 04901 - Phone
- (207) 859-4000
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA 008 | ME | Primary |
Addresses
Primary practice location
4460 Mayflower Hill
Waterville, ME 04901
Mailing address
5 Bartlett St
Waterville, ME 04901-7301
Phone (207) 873-5389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 008 | ME | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1003869801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BARTLETT ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049017301",
"telephone_number": "207-873-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 MAYFLOWER HILL",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "04901",
"telephone_number": "207-859-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODLEE",
"first_name": "JIMMIE",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "PA 008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterville, ME
- Robin M Wood, M.D.
- Woodlands Senior Living of Madison LLC
- Woodlands Senior Living of Waterville, Inc.
- Woodlands Senior Living of Waterville, Inc.
- Woodlands Senior Living of Waterville, LLC
- Kristi Marie Woods, RNC
- Gayle Wendy Workman, PTA
- Heather Niemann Worster, PT
- Meredith M Wurpel, LCSW
- Lea J Wygant, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.