Active NPI
Arthur F. Blake, M.D.
- Family Medicine Physician
- Harrington, ME
National Provider Identifier
1093811481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD18331
- Practice address
- 50 E Main St
Harrington, ME 04643-3043 - Phone
- (207) 483-4502
- Fax
- (207) 483-2525
- NPI assigned
- Sep 15, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TD081128 | ME | |
| Family Medicine Physician | 207Q00000X | 018331 | ME | |
| Family Medicine Physician | 207Q00000X | 019339 | CT | |
| Family Medicine Physician | 207Q00000X | MD18331 | ME | Primary |
Addresses
Primary practice location
50 E Main St
Harrington, ME 04643-3043
Mailing address
118 Moosehead TRL Ste 5
Newport, ME 04953-4056
Phone (207) 368-5189
Other practice location 1
118 Moosehead Trl Ste 5
Newport, ME 04953-4056
Phone (207) 368-5189
Other practice location 2
1012 Union St
Bangor, ME 04401
Phone (207) 945-5247
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433381099 | Medicaid | ME | |
| 000890101 | Other | ME | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019339 | CT | MD | Family Medicine Physician |
| 018331 | ME | MD | Family Medicine Physician |
| TD081128 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Blue Hill Memorial Hospital | Past | Accepting new patients | |
| Prohealth Physicians PC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10564/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northern Light Blue Hill Hospital
- Critical Access Hospital
- Blue Hill, ME
- NPI 1023057809
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093811481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 MOOSEHEAD TRL STE 5",
"city": "NEWPORT",
"state": "ME",
"postal_code": "049534056",
"telephone_number": "207-368-5189",
"fax_number": "207-368-4213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E MAIN ST",
"city": "HARRINGTON",
"state": "ME",
"postal_code": "046433043",
"telephone_number": "207-483-4502",
"fax_number": "207-483-2525"
}
],
"practiceLocations": [
{
"address_1": "118 Moosehead Trl Ste 5",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "ME",
"postal_code": "049534056",
"country_code": "US",
"telephone_number": "207-368-5189",
"fax_number": "207-368-4213",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1012 Union St",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "04401",
"country_code": "US",
"telephone_number": "207-945-5247",
"fax_number": "207-990-1248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAKE",
"first_name": "ARTHUR",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "TD081128",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "018331",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "019339",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD18331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433381099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "000890101",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.