NPIMap

Organization Active NPI

Maranacook Family Health Care, LLC PA

  • Family Medicine Physician
  • Readfield, ME
National Provider Identifier
1033423827
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
014472 Issued in ME
Legal business name
MARANACOOK FAMILY HEALTH CARE, LLC PA
Practice address
169 South Rd
Readfield, ME 04355-3340
Phone
(207) 620-4449
Fax
(207) 685-3208
NPI assigned
Aug 4, 2010
Last updated
Apr 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Jennifer McConnell, M.D.NPI 1235105057
Title
Co-Owner
Phone
(207) 620-4449

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
Family Medicine Physician 207Q00000X 014472 ME Primary

Addresses

Primary practice location

169 South Rd
Readfield, ME 04355-3340

Mailing address

PO Box 390
169 South Rd
Readfield, ME 04355-0390
Phone (207) 620-4449

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5709/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": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1033423827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "address_2": "169 SOUTH RD",
            "city": "READFIELD",
            "state": "ME",
            "postal_code": "043550390",
            "telephone_number": "207-620-4449",
            "fax_number": "207-685-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SOUTH RD",
            "city": "READFIELD",
            "state": "ME",
            "postal_code": "043553340",
            "telephone_number": "207-620-4449",
            "fax_number": "207-685-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANACOOK FAMILY HEALTH CARE, LLC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "207-620-4449",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "014472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Readfield, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.