Organization Active NPI

North Woods General Practice PC

  • General Practice Physician
  • Sherman, ME
National Provider Identifier
1124483433
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD11485 Issued in ME
Legal business name
NORTH WOODS GENERAL PRACTICE PC
Practice address
226 Main St
Sherman, ME 04776-3064
Phone
(207) 365-4335
NPI assigned
Dec 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Martin J HrynickNPI 1790871648
Title
Owner
Phone
(207) 365-4335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X MD11485 ME Primary

Addresses

Primary practice location

226 Main St
Sherman, ME 04776-3064

Mailing address

226 Main St
Sherman, ME 04776-3064
Phone (207) 365-4335

Other identifiers 3

IdentifierTypeStateIssuer
1124483433MedicaidME
DW4747OtherMERAILROAD MEDICARE
7172979OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160324001386 ME Part B Supplier - Clinic/Group Practice 4789981333 Receives reassigned benefits from 2 practitioners
Practice locations: Houlton, ME; Sherman, ME

National Provider Directory

National Provider Directory

Locations

83 Houlton St
Patten, ME 04765
Phone (207) 455-4539

521 Main St
Ste A
Presque Isle, ME 04769

226 Main St
Sherman, ME 04776
Phone (207) 365-4335

Practitioners & affiliated clinicians

Practitioners 5

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": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1124483433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "SHERMAN",
            "state": "ME",
            "postal_code": "047763064",
            "telephone_number": "207-365-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "SHERMAN",
            "state": "ME",
            "postal_code": "047763064",
            "telephone_number": "207-365-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WOODS GENERAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "HRYNICK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-365-4335"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "ME",
            "license": "MD11485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124483433",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DW4747",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7172979",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.