Active NPI
Peter Charles Mason, D.O.
- Adult Medicine Physician
- West Bath, ME
National Provider Identifier
1093882102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 1094
- Practice address
- 270 State Rd
West Bath, ME 04530-6320 - Phone
- (207) 442-7622
- Fax
- (207) 442-8318
- NPI assigned
- Nov 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 1094 | ME | |
| Adult Medicine Physician | 207QA0505X | 1094 | ME | Primary |
Addresses
Primary practice location
270 State Rd
West Bath, ME 04530-6320
Mailing address
24 Somerset PL
Bath, ME 04530-2833
Phone (207) 442-8625
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Occupational Health Associates of Maine, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- West Bath, ME
- NPI 1356401509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1093882102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SOMERSET PL",
"city": "BATH",
"state": "ME",
"postal_code": "045302833",
"telephone_number": "207-442-8625",
"fax_number": "207-442-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 STATE RD",
"city": "WEST BATH",
"state": "ME",
"postal_code": "045306320",
"telephone_number": "207-442-7622",
"fax_number": "207-442-8318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "PETER",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "ME",
"license": "1094",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "ME",
"license": "1094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bath, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.