Individual provider Active NPI

Christopher J Delorie, DO

  • Interventional Pain Medicine Physician
  • York, ME
National Provider Identifier
1144209123
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
1853 Issued in ME
Practice address
519 US Route 1
Unit 9
York, ME 03909
Phone
(207) 363-4114
Fax
(207) 363-4126
NPI assigned
Jan 10, 2006
Last updated
Nov 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 1853 ME Primary

Addresses

Primary practice location

519 US Route 1
Unit 9
York, ME 03909

Mailing address

519 US Route 1
Unit 9
York, ME 03909
Phone (207) 363-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050610000744 ME Practitioner - Interventional Pain Management 8325082381 Reassigns benefits to 1 organization
I20230829001086 NH Practitioner - Osteopathic Manipulative Medicine 8325082381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1853MEMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jun 1, 2020 Accepting new patients
York Pain Consultants LLC PA PastSince Feb 1, 2005 Accepting new patients

Locations

128 State St
#3
Augusta, ME 04330

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 600
Dallas, TX 75244

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1144209123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 US ROUTE 1",
            "address_2": "UNIT 9",
            "city": "YORK",
            "state": "ME",
            "postal_code": "03909",
            "telephone_number": "207-363-4114",
            "fax_number": "207-363-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 US ROUTE 1",
            "address_2": "UNIT 9",
            "city": "YORK",
            "state": "ME",
            "postal_code": "03909",
            "telephone_number": "207-363-4114",
            "fax_number": "207-363-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELORIE",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "ME",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

Verify at the official NPI Registry.