Organization Active NPI

John Painter, DO

  • Family Medicine Physician
  • Raymond, ME
National Provider Identifier
1063589307
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
838 Issued in ME
Legal business name
JOHN PAINTER, DO
Practice address
49 Main St
Raymond, ME 04071
Phone
(207) 655-3854
Fax
(207) 655-2557
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
John W Painter, D.O.
Title
Doctorowner
Phone
(207) 655-3854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 838 ME Primary

Addresses

Primary practice location

49 Main St
Raymond, ME 04071

Mailing address

PO Box 319
Raymond, ME 04071-0319
Phone (207) 655-3854

Other identifiers 1

IdentifierTypeStateIssuer
432540200MedicaidME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1063589307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040710319",
            "telephone_number": "207-655-3854",
            "fax_number": "207-655-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MAIN ST",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "04071",
            "telephone_number": "207-655-3854",
            "fax_number": "207-655-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PAINTER, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOROWNER",
        "authorized_official_telephone_number": "207-655-3854",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432540200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.