Active NPI
John Painter, DO
- Family Medicine Physician
- Raymond, ME
National Provider Identifier
1063589307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 838
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432540200 | Medicaid | ME |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Kennebunk, ME
- NPI 1649427329
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.