NPIMap

Organization Active NPI

Mousam Valley Orthopaedics PA

  • Orthopaedic Surgery Physician
  • Sanford, ME
National Provider Identifier
1043374044
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MOUSAM VALLEY ORTHOPAEDICS PA
Practice address
312 Cottage St
Sanford, ME 04073-1828
Phone
(207) 324-1488
Fax
(207) 490-5733
NPI assigned
Dec 21, 2006
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Randi D Lebar, M.D.NPI 1740344704
Title
President
Phone
(207) 324-1488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME Primary

Addresses

Primary practice location

312 Cottage St
Sanford, ME 04073-1828

Mailing address

312 Cottage St
Sanford, ME 04073-1828
Phone (207) 324-1488

National Provider Directory

National Provider Directory

Locations

312 Cottage St
Sanford, ME 04073
Phone (207) 324-1488

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1043374044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 COTTAGE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731828",
            "telephone_number": "207-324-1488",
            "fax_number": "207-490-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 COTTAGE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731828",
            "telephone_number": "207-324-1488",
            "fax_number": "207-490-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUSAM VALLEY ORTHOPAEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "LEBAR",
        "authorized_official_first_name": "RANDI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-324-1488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.