Pamela J.W. Nourse, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

14885 Issued in ME

Practice address

891 W Main St
Suite 700
Dover Foxcroft, ME 04426-1059

Phone

(207) 564-4466

Fax

(207) 564-4468

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• MRH Corp.

  • Family Medicine Physician
  • Dexter, ME
  • NPI 1417079039
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1104862903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 W MAIN ST",
            "address_2": "SUITE 700",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261059",
            "telephone_number": "207-564-4466",
            "fax_number": "207-564-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 W MAIN ST",
            "address_2": "SUITE 700",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261059",
            "telephone_number": "207-564-4466",
            "fax_number": "207-564-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURSE",
        "first_name": "PAMELA",
        "middle_name": "J.W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "14885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HX3032",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00061427",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MRH Corp.
• Thomas Kenneth Murray, MD
• Roxanne Nason
• Melodie Needham, FNP
• Anne Noel
• Ruth Ellen O'Mahony, M.D.
• Dennis O'Neil
• Options in Therapy
• Srikanth Padma, MD MBBS MS MCH DABS
• Katherine Panciera

• Surgery Physician in Dover Foxcroft, ME
• Providers in Dover Foxcroft, ME by specialty
• Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.