Individual provider Active NPI

John Paul Carrier, M.D.

  • Physical Medicine & Rehabilitation Physician
  • South Portland, ME
National Provider Identifier
1114071446
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
010750 Issued in ME
Practice address
21 Donald B Dean Dr
South Portland, ME 04106-3252
Phone
(207) 871-1800
Fax
(207) 871-1818
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 010750 ME Primary

Addresses

Primary practice location

21 Donald B Dean Dr
South Portland, ME 04106-3252

Mailing address

21 Donald B Dean Dr
South Portland, ME 04106-3252
Phone (207) 871-1800

Other identifiers 1

IdentifierTypeStateIssuer
046547OtherMEANTHEM PROVIDER NUMBER

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 Medicine

State licenses

LicenseStateTypeSpecialty
010750MEMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. Current Accepting new patients

Locations

34 Gilman Rd
Bangor, ME 04401
Phone (207) 941-8300

59 East Ave
Lewiston, ME 04240
Phone (207) 784-1680

85 Western Ave
Ste 6
South Portland, ME 04106
Phone (207) 774-7751

Interoperability endpoints

  • Direct secure messaging: johncarrier@concentrahs.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/7607/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114071446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DONALD B DEAN DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063252",
            "telephone_number": "207-871-1800",
            "fax_number": "207-871-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DONALD B DEAN DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063252",
            "telephone_number": "207-871-1800",
            "fax_number": "207-871-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIER",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ME",
            "license": "010750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "046547",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.