Active NPI
Mid Coast Dermatology, LLC
- Dermatology Physician
- Brunswick, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 017897
- Legal business name
- MID COAST DERMATOLOGY, LLC
- Practice address
- 85 Baribeau Dr
Suite 1
Brunswick, ME 04011-3249 - Phone
- (207) 406-2735
- Fax
- (207) 406-2763
- NPI assigned
- May 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Helge G Riemann, MD
- Title
- Owner
- Phone
- (207) 406-2735
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 017897 | ME | Primary |
Addresses
Primary practice location
85 Baribeau Dr
Suite 1
Brunswick, ME 04011-3249
Mailing address
85 Baribeau Dr
Suite 1
Brunswick, ME 04011-3249
Phone (207) 406-2735
National Provider Directory
National Provider DirectoryLocations
85 Baribeau Dr
Ste 1
Brunswick, ME 04011
Phone (207) 406-2735
Interoperability endpoints
- https://api.platform.athenahealth.com/4360/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Brunswick, ME
- NPI 1255478541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346198400000",
"number": "1023377140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 BARIBEAU DR",
"address_2": "SUITE 1",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113249",
"telephone_number": "207-406-2735",
"fax_number": "207-406-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 BARIBEAU DR",
"address_2": "SUITE 1",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113249",
"telephone_number": "207-406-2735",
"fax_number": "207-406-2763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID COAST DERMATOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-09",
"last_updated": "2012-08-29",
"status": "A",
"authorized_official_last_name": "RIEMANN",
"authorized_official_first_name": "HELGE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-406-2735",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "ME",
"license": "017897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
- Merrymeeting Neuropsychology
- Nathaniel Flaschner Meyer, MD
- Emily M Michaud, LCPC, LADC
- Mid Coast Anesthesia, PA
- Mid Coast Cardiology
- Mid Coast Geriatric Services Corp (Mid Coast Senior Health)
- Mid Coast Medical Group-Surgical Care
- Midcoast Chiropractic LLC
- Midcoast Counseling Group, PLLC
- Midcoast Dental Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.