Andrew Percy Iverson,MD II, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

6119 Issued in ME

Practice address

11 Staples Point Rd
Freeport, ME 04032-6003

Phone

(207) 865-3905

NPI assigned

Nov 8, 2011

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

Other names 1

• Dr. Andrew Percy Iverson, MD II Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1144507948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STAPLES POINT RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326003",
            "telephone_number": "207-865-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 STAPLES POINT RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326003",
            "telephone_number": "207-865-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON,MD",
        "first_name": "ANDREW",
        "middle_name": "PERCY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ME",
            "license": "6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "IVERSON, MD",
            "middle_name": "PERCY",
            "prefix": "DR.",
            "suffix": "II",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kari R Haugen, LCPC, CRC
• Meneah Rose Haworth, NP
• James A. Hendricks, D.C.
• Matthew Howard, LCSW
• Heather W Hyatt, M.S.W., L.C.S.W.
• Jeffrey a Benson
• Sean Jeffrey, PT, DPT
• David Martin Johnson, DO
• Christopher Paul Joseph, RPH, CDM
• Kara L Kaikini, M.S., IBCLC

• Urology Physician in Freeport, ME
• Providers in Freeport, ME by specialty
• Urology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.