Organization Active NPI

Coastal Maine Foot & Ankle Center PLLC

  • Foot & Ankle Surgery Podiatrist
  • Falmouth, ME
National Provider Identifier
1104910926
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
COASTAL MAINE FOOT & ANKLE CENTER PLLC
Practice address
21 Northbrook Dr
Suite B
Falmouth, ME 04105-1346
Phone
(207) 781-7715
Fax
(207) 781-5715
NPI assigned
Oct 3, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Shannon Meredith, DPM
Title
Owner
Phone
(207) 781-7715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

21 Northbrook Dr
Suite B
Falmouth, ME 04105-1346

Mailing address

PO Box 2200
Amherst, NH 03031-4200
Phone (207) 781-7715

National Provider Directory

National Provider Directory

Locations

21 Northbrook Dr
Ste B
Falmouth, ME 04105
Phone (207) 774-5479

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1104910926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2200",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030314200",
            "telephone_number": "207-781-7715",
            "fax_number": "207-781-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NORTHBROOK DR",
            "address_2": "SUITE B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051346",
            "telephone_number": "207-781-7715",
            "fax_number": "207-781-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MAINE FOOT & ANKLE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-781-7715",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.