Individual provider Active NPI

Arthur F. Blake, M.D.

  • Family Medicine Physician
  • Harrington, ME
National Provider Identifier
1093811481
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD18331 Issued in ME
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
433381099MedicaidME
000890101OtherMEMEDICARE 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

LicenseStateTypeSpecialty
019339CTMDFamily Medicine Physician
018331MEMDFamily Medicine Physician
TD081128MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Blue Hill Memorial Hospital Past Accepting new patients
Prohealth Physicians PC Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.