NPIMap

Organization Active NPI

Appledore Medical Group II Inc

Doing business as Coastal Cardiothoracic & Vascular Associates

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • York, ME
National Provider Identifier
1114113040
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
APPLEDORE MEDICAL GROUP II INC
Doing business as
Coastal Cardiothoracic & Vascular Associates
Practice address
12 Hospital Dr
Suite 9
York, ME 03909-1030
Phone
(603) 433-4862
Fax
(603) 334-2052
NPI assigned
Sep 25, 2007
Last updated
Sep 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Ken Washington
Title
Vice President
Phone
(703) 650-2907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X Primary

Addresses

Primary practice location

12 Hospital Dr
Suite 9
York, ME 03909-1030

Mailing address

12 Hospital Dr
Suite 9
York, ME 03909-1030
Phone (603) 433-4862

Other identifiers 1

IdentifierTypeStateIssuer
30212551MedicaidNH

Other names 1

  • Coastal Cardiothoracic & Vascular Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Appledore Medical Group II Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1114113040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HOSPITAL DR",
            "address_2": "SUITE 9",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091030",
            "telephone_number": "603-433-4862",
            "fax_number": "603-334-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HOSPITAL DR",
            "address_2": "SUITE 9",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091030",
            "telephone_number": "603-433-4862",
            "fax_number": "603-334-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEDORE MEDICAL GROUP II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "703-650-2907"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30212551",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Cardiothoracic & Vascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.