Physician Engineered Products Inc.

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

License

WH70001334 Issued in ME

Legal business name

PHYSICIAN ENGINEERED PRODUCTS INC.

Practice address

103 Smith St
Fryeburg, ME 04037-1182

Phone

(207) 935-1256

Fax

(207) 935-1257

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rob Rose, MD

Title

Ceo

Phone

(207) 935-1256

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033316708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SMITH ST",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371182",
            "telephone_number": "207-935-1256",
            "fax_number": "207-935-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SMITH ST",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371182",
            "telephone_number": "207-935-1256",
            "fax_number": "207-935-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ENGINEERED PRODUCTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-935-1256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "ME",
            "license": "WH70001334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain View Direct Care, LLC
• Peter W. Murphy, M.D.
• N Scott Ferguson O.D.
• James Thomas Oliver, RX
• Rebecca Paradis
• Nicole Elizabeth Pickerell, DMD
• Gabrielle Quigley
• Darcie Reed, LMT
• Rite Aid of Maine Inc
• Farrah Ross, DMD

• Nursing Facility Supplies (DME) in Fryeburg, ME
• Providers in Fryeburg, ME by specialty
• Nursing Facility Supplies (DME) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.