Organization Active NPI

Mid Coast Dermatology, LLC

  • Dermatology Physician
  • Brunswick, ME
National Provider Identifier
1023377140
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
017897 Issued in ME
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

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Helge G Riemann, MDNPI 1255478541
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

85 Baribeau Dr
Ste 1
Brunswick, ME 04011
Phone (207) 406-2735

Interoperability endpoints

  • FHIR API: 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.

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

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.

Verify at the official NPI Registry.