Susan McKinley, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

013052 Issued in ME

Legal business name

SUSAN MCKINLEY, MD

Practice address

731 Commercial St
Ste 2
Rockport, ME 04856-4254

Phone

(207) 594-2002

Fax

(207) 594-5787

NPI assigned

Mar 13, 2009

Organization subpart

No

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

Authorized official

Name

Carol Ann Goldsmith

Title

Office Coordinator

Phone

(207) 594-2002

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1013158419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 COMMERCIAL ST",
            "address_2": "STE 2",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564254",
            "telephone_number": "207-594-2002",
            "fax_number": "207-594-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 COMMERCIAL ST",
            "address_2": "STE 2",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564254",
            "telephone_number": "207-594-2002",
            "fax_number": "207-594-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MCKINLEY, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "207-594-2002"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "013052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122640000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward T Steele, MD
• Rebecca M Stephens, DPT
• William B Stephenson, MD
• Marisa Strong, LCSW
• Paul R Surette, L,A.T.C.
• Lauren Swegle, PA-C
• Norman L Sykes, MD
• Cassandre Tanner, D.O.
• Carrie Thackeray, M.D.
• Randal Thivierge, DSS

• Pediatrics Physician in Rockport, ME
• Providers in Rockport, ME by specialty
• Pediatrics Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.