NPIMap

Individual provider Active NPI

Lisa Jennifer Yeh, DO

  • Internal Medicine Physician
  • Bath, ME
National Provider Identifier
1043622012
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO2693 Issued in ME
Practice address
108 Centre St
Bath, ME 04530-2550
Phone
(207) 386-1800
Fax
(207) 386-1801
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X DO2693 ME Primary

Addresses

Primary practice location

108 Centre St
Bath, ME 04530-2550

Mailing address

108 Centre St
Bath, ME 04530-2550
Phone (207) 386-1800

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111

Other practice location 2

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822002270 ME Practitioner - Internal Medicine 4587880463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

108 Centre St
Bath, ME 04530-2550

22 Bramhall St
Portland, ME 04102-3134

24 Miles Ctr Way
Maine Behavioral Healthcare
Damariscotta, ME 04543-4067
Phone (844) 292-0111

5 Miles Ctr Way
Damariscotta, ME 04543-4067
Phone (207) 563-3782

Hospital & facility affiliations

  • Mainehealth Chans Home Health and Hospice Home health agency, Brunswick, ME, CCN 207012
  • Amedisys Home Health Home health agency, Portland, ME, CCN 207073
  • Chans Home Health & Hospice Hospice, Brunswick, ME, CCN 201501
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021
  • Lincolnhealth Hospital, Damariscotta, ME, CCN 201302
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Nov 1, 2020 Accepting new patients
Mainehealth CurrentSince Nov 1, 2020 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients

Locations

108 Centre St
#200
Bath, ME 04530
Phone (207) 386-1800

108 Centre St
Bath, ME 04530
Phone (207) 386-1800

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

58 Baribeau Dr
Brunswick, ME 04011
Phone (207) 373-3638

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

1 Wellness Way
Ste A
Topsham, ME 04086
Phone (207) 386-1808

Interoperability endpoints

  • Direct secure messaging: lyeh17546@direct.mmc.mainehealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043622012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CENTRE ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302550",
            "telephone_number": "207-386-1800",
            "fax_number": "207-386-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CENTRE ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302550",
            "telephone_number": "207-386-1800",
            "fax_number": "207-386-1801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEH",
        "first_name": "LISA",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "DO2693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, ME

Sources for this page

Verify at the official NPI Registry.