Organization Active NPI

Roland H. Knausenberger, M.D. PA

  • Internal Medicine Physician
  • Waterville, ME
National Provider Identifier
1073736229
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
014248 Issued in ME
Legal business name
ROLAND H. KNAUSENBERGER, M.D. PA
Practice address
180 Kennedy Memorial Dr
Suite 202
Waterville, ME 04901-4540
Phone
(207) 872-2900
Fax
(207) 872-8495
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Roland H Knausenberger, MDNPI 1952406308
Title
MD
Phone
(207) 872-2900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 014248 ME Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 014248 ME

Addresses

Primary practice location

180 Kennedy Memorial Dr
Suite 202
Waterville, ME 04901-4540

Mailing address

180 Kennedy Memorial Dr
Suite 202
Waterville, ME 04901-4540
Phone (207) 872-2900

National Provider Directory

National Provider Directory

Locations

180 Kennedy Memorial Dr
Ste 202
Waterville, ME 04901
Phone (207) 872-2900

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1073736229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 KENNEDY MEMORIAL DR",
            "address_2": "SUITE 202",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014540",
            "telephone_number": "207-872-2900",
            "fax_number": "207-872-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 KENNEDY MEMORIAL DR",
            "address_2": "SUITE 202",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014540",
            "telephone_number": "207-872-2900",
            "fax_number": "207-872-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLAND H. KNAUSENBERGER, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "KNAUSENBERGER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "207-872-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "014248",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "014248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.