Active NPI
Mark H Rolerson, M.D.
- Family Medicine Physician
- Saco, ME
National Provider Identifier
1033174255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 013679
- Practice address
- 13 Industrial Park Rd
Saco, ME 04072-1804 - Phone
- (207) 283-8800
- Fax
- (207) 286-9853
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 013679 | ME | Primary |
Addresses
Primary practice location
13 Industrial Park Rd
Saco, ME 04072-1804
Mailing address
9 Healthcare Dr
Suite 201
Biddeford, ME 04005-3747
Phone (207) 282-9080
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962858005 | Other | ME | CIGNA |
| 016584 | Other | ME | ANTHEM |
| F85121 | Other | ME | HARVARD PILGRIM |
| 245030099 | Medicaid | ME | |
| 2939348 | Other | ME | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013679 | ME | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1033174255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HEALTHCARE DR",
"address_2": "SUITE 201",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040053747",
"telephone_number": "207-282-9080",
"fax_number": "207-282-9180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 INDUSTRIAL PARK RD",
"city": "SACO",
"state": "ME",
"postal_code": "040721804",
"telephone_number": "207-283-8800",
"fax_number": "207-286-9853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLERSON",
"first_name": "MARK",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "013679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1962858005",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "016584",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "F85121",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "245030099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2939348",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.