Active NPI
Pamela R Rietschel, MD
- Vascular Surgery Physician
- Lewiston, ME
National Provider Identifier
1124007810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 12701
- Practice address
- 60 High St
Lewiston, ME 04240-7616 - Phone
- (207) 779-5826
- Fax
- (207) 795-8281
- NPI assigned
- Jan 11, 2006
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 12701 | ME | Primary |
Addresses
Primary practice location
60 High St
Lewiston, ME 04240-7616
Mailing address
60 High St
Lewiston, ME 04240-7616
Phone (207) 779-5826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 298780099 | Medicaid | ME |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12701 | ME | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1124007810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HIGH ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407616",
"telephone_number": "207-779-5826",
"fax_number": "207-795-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HIGH ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407616",
"telephone_number": "207-779-5826",
"fax_number": "207-795-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIETSCHEL",
"first_name": "PAMELA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "ME",
"license": "12701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "298780099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.