Individual provider Active NPI

Joseph Nabozny, MD

  • Emergency Medicine Physician
  • Gouldsboro, ME
National Provider Identifier
1023051430
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD12570 Issued in ME
Practice address
37 Clinic Rd
Eleanor Widener Dixon Memorial Clinic
Gouldsboro, ME 04607-4013
Phone
(207) 963-4066
Fax
(207) 963-7723
NPI assigned
Jun 14, 2006
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD12570 ME Primary

Addresses

Primary practice location

37 Clinic Rd
Eleanor Widener Dixon Memorial Clinic
Gouldsboro, ME 04607-4013

Mailing address

37 Clinic Rd
Eleanor Widener Dixon Memorial Clinic
Gouldsboro, ME 04607-4013
Phone (207) 963-4066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000458 ME Practitioner - General SurgeryPractitioner - Family Practice 1456393974 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Rochester School of Medicine and Dentistry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of Maine LLCGroup PAC ID 1052657616, 56 clinicians

Practice addresses (Care Compare)

50 Union St
Ellsworth, ME 04605-1534
Phone (207) 664-5311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD12570MEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Feb 14, 2020 Accepting new patients
Mount Desert Island Hospital CurrentSince Nov 10, 2025 Accepting new patients
Down East Community Hospital CurrentSince Jul 27, 2013 Accepting new patients
Houlton Regional Hospital CurrentSince Feb 14, 2020 Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince Dec 29, 2019 Accepting new patients
Down East Community Hospital CurrentSince Jul 27, 2013 Accepting new patients
Mount Desert Island Hospital CurrentSince Jan 1, 2025 Accepting new patients

Locations

10 Wayman Ln
Bar Harbor, ME 04609
Phone (207) 288-5082

322 Main St
Bar Harbor, ME 04609
Phone (207) 288-5082

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1023051430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CLINIC RD",
            "address_2": "ELEANOR WIDENER DIXON MEMORIAL CLINIC",
            "city": "GOULDSBORO",
            "state": "ME",
            "postal_code": "046074013",
            "telephone_number": "207-963-4066",
            "fax_number": "207-963-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CLINIC RD",
            "address_2": "ELEANOR WIDENER DIXON MEMORIAL CLINIC",
            "city": "GOULDSBORO",
            "state": "ME",
            "postal_code": "046074013",
            "telephone_number": "207-963-4066",
            "fax_number": "207-963-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABOZNY",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD12570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gouldsboro, ME

Sources for this page

Verify at the official NPI Registry.