Michael John Saletta, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

013534 Issued in ME

Practice address

325E Kennedy Memorial Dr
Waterville, ME 04901-4531

Phone

(207) 872-2424

Fax

(207) 872-2099

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1003909896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325E KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014531",
            "telephone_number": "207-872-2424",
            "fax_number": "207-872-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325E KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014531",
            "telephone_number": "207-872-2424",
            "fax_number": "207-872-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALETTA",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "013534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304090099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "006984",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272270099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica L Rubashkin, CPNP
• Donna M. Ruble, LCPC
• Charles J Ruff, DMD
• Nancy Rushton, NP
• Safe Move Mobility LLC
• John A Salvato, MD
• Christine Anne Sanborn, RN
• Mirela Liana Sasuclark, MS, MOT,OTR/L
• Elizabeth Saucier
• Lisa B Sauer, MD

• All providers in Waterville, ME
• Gastroenterology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.