Sebasticook Valley Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SEBASTICOOK VALLEY PRIMARY CARE

Practice address

140 Chandler Street
Pittsfield, ME 04967-0515

Phone

(207) 487-9244

Fax

(207) 487-2834

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gaetane T Blair

Title

Business Manager

Phone

(207) 487-5071

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 2

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

• Brad R Huot, MD

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1891866372
  NPD (past)
• Kevin Sean Flanigan, MD

  • Internal Medicine Physician
  • Ridgecrest, CA
  • NPI 1003987587
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1093854069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "address_2": "140 CHANDLER STREET",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049670515",
            "telephone_number": "207-487-9244",
            "fax_number": "207-487-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CHANDLER STREET",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049670515",
            "telephone_number": "207-487-9244",
            "fax_number": "207-487-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTICOOK VALLEY PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "GAETANE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "207-487-5071",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. HUOT STAR ID",
            "identifier": "023158",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM STAR ID",
            "identifier": "024866",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sebasticook Valley Health
• Sebasticook Valley Health
• Sebasticook Valley Health Care Facility Inc.
• Sebasticook Valley Home Care
• Sebasticook Valley Hospital Associates
• Sebasticook Valley Work Health
• Heather Michelle Sevigny, APRN
• Mohammad Abrar Shareef, M.D.
• Kathryn Spofford, RD
• Teimojin Nicholas Tan, DO

• Internal Medicine Physician in Pittsfield, ME
• Providers in Pittsfield, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.