Active NPI
Prescott J Cheney, M.D.
- Orthopaedic Surgery Physician
- Pemaquid Harbor, ME
National Provider Identifier
1043346638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 30390
- Practice address
- 10 John's River Drive
Pemaquid Harbor, ME 04558 - Phone
- (207) 677-2158
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 30390 | MA | Primary |
Addresses
Primary practice location
10 John's River Drive
Pemaquid Harbor, ME 04558
Mailing address
10 John's River Drive
Pemaquid Harbor, ME 04558
Phone (207) 677-2158
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30390 | MA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043346638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 JOHN'S RIVER DRIVE",
"city": "PEMAQUID HARBOR",
"state": "ME",
"postal_code": "04558",
"telephone_number": "207-677-2158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 JOHN'S RIVER DRIVE",
"city": "PEMAQUID HARBOR",
"state": "ME",
"postal_code": "04558",
"telephone_number": "207-677-2158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENEY",
"first_name": "PRESCOTT",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "30390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.