Active NPI
Thomas Jamrog
- Specialist
- Rockland, ME
National Provider Identifier
1093949877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PE706
- Practice address
- 116 Tillson Ave
Rockland, ME 04841-3424 - Phone
- (207) 594-5933
- Fax
- (207) 594-1925
- NPI assigned
- May 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PE706 | ME | Primary |
Addresses
Primary practice location
116 Tillson Ave
Rockland, ME 04841-3424
Mailing address
116 Tillson Ave
Rockland, ME 04841-3424
Phone (207) 594-5933
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PE706 | ME | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knox County CDS | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Rockland, ME
- NPI 1114112968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1093949877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 TILLSON AVE",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048413424",
"telephone_number": "207-594-5933",
"fax_number": "207-594-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 TILLSON AVE",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048413424",
"telephone_number": "207-594-5933",
"fax_number": "207-594-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMROG",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-08",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "PE706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.