Peter Y. Kang, DO

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

DO2470 Issued in ME

Practice address

7 Oak Hill Ter Ste 218
Scarborough, ME 04074

Phone

(207) 303-0022

Fax

(207) 303-0023

NPI assigned

May 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: pkang23678@direct.mmc.mainehealth.org

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1144455296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OAK HILL TER STE 218",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748996",
            "telephone_number": "207-303-0022",
            "fax_number": "207-303-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OAK HILL TER STE 218",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-303-0022",
            "fax_number": "207-303-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Foden Rd, West",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "04106",
            "country_code": "US",
            "telephone_number": "207-523-3767",
            "fax_number": "207-523-8596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "PETER",
        "middle_name": "Y.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ME",
            "license": "DO2470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Kaake, OCCT
• Veena Vaidyanathan Kahn, DDS
• Elizabeth Ann Kain, DMD
• Leonard C Kaminow, MD
• Michael Raymond Kane, PT
• Aos S Karim, M.D.
• Nadav Lelkes Kastle, M.D.
• Kristyn Michelle Kee, FNP-C
• Andrew Keibel, MD
• Robert B Keller, MD

• Child & Adolescent Psychiatry Physician in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Child & Adolescent Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.