Organization Active NPI

Villi P Enders PA

  • Anesthesiology Physician
  • Portland, ME
National Provider Identifier
1124260831
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
012829 Issued in ME
Legal business name
VILLI P ENDERS PA
Practice address
53 Sewall St
Portland, ME 04102-2625
Phone
(207) 828-2020
NPI assigned
Mar 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Villi Enders, MD
Title
Owner
Phone
(207) 828-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 012829 ME Primary

Addresses

Primary practice location

53 Sewall St
Portland, ME 04102-2625

Mailing address

PO Box 810
Westbrook, ME 04098-0810
Phone (207) 854-1544

Other identifiers 1

IdentifierTypeStateIssuer
1740263433OtherMEINDIVIDUAL NPI #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1124260831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040980810",
            "telephone_number": "207-854-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022625",
            "telephone_number": "207-828-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLI P ENDERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "ENDERS",
        "authorized_official_first_name": "VILLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-828-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "012829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1740263433",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.