Active NPI
Jane E Carreiro, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Saco, ME
National Provider Identifier
1104801968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 1321
- Practice address
- 655 Main St
Saco, ME 04072-1543 - Phone
- (207) 283-1407
- Fax
- (207) 284-6291
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 1321 | ME | Primary |
Addresses
Primary practice location
655 Main St
Saco, ME 04072-1543
Mailing address
PO Box 626
Biddeford, ME 04005-0626
Phone (207) 283-7000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620091501 | Other | ME | CIGNA |
| 1104801968 | Medicaid | ME | |
| 2362375 | Other | ME | AETNA |
| 120002424 | Other | ME | RR MEDICARE |
| 018065 | Other | ME | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1321 | ME | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of New England | Neuromusculoskeletal Medicine & Omm | 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.
-
- Family Medicine Physician
- Biddeford, ME
- NPI 1699752055
Neuromusculoskeletal Medicine & Omm
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1104801968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 626",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040050626",
"telephone_number": "207-283-7000",
"fax_number": "207-284-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 MAIN ST",
"city": "SACO",
"state": "ME",
"postal_code": "040721543",
"telephone_number": "207-283-1407",
"fax_number": "207-284-6291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARREIRO",
"first_name": "JANE",
"middle_name": "E",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "ME",
"license": "1321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "620091501",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104801968",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2362375",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "120002424",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "018065",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.