Active NPI
Pine Tree Radiology PA
- Diagnostic Radiology Physician
- Pittsfield, ME
National Provider Identifier
1144740424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PINE TREE RADIOLOGY PA
- Practice address
- 447 N Main St
Pittsfield, ME 04967-3707 - Phone
- (207) 487-5141
- NPI assigned
- Jun 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles A Crans Jr., MD
- Title
- President
- Phone
- (207) 784-2554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
447 N Main St
Pittsfield, ME 04967-3707
Mailing address
PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554
National Provider Directory
National Provider DirectoryLocations
46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506038400000",
"number": "1144740424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1849",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042411849",
"telephone_number": "207-784-2554",
"fax_number": "207-777-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 N MAIN ST",
"city": "PITTSFIELD",
"state": "ME",
"postal_code": "049673707",
"telephone_number": "207-487-5141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINE TREE RADIOLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-27",
"last_updated": "2017-09-22",
"status": "A",
"authorized_official_last_name": "CRANS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-784-2554",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.