Active NPI
David R Greatorex, M.D.
- Diagnostic Radiology Physician
- Portland, ME
National Provider Identifier
1164409264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 015632
- Practice address
- 144 State St
Portland, ME 04101-3776 - Phone
- (207) 879-3000
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 015632 | ME | Primary |
Addresses
Primary practice location
144 State St
Portland, ME 04101-3776
Mailing address
PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015632 | ME | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Northern Radiological Associates | Past | Accepting new patients | |
| South Coast Radiology, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Westchester Neurological Consultant PC | Past | Accepting new patients |
Locations
2 Washington St
Ste 329
Dover, NH 03820
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
200 Route 108
Ste 3
Somersworth, NH 03878
Phone (603) 742-6673
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Dover, NH
- NPI 1427020395
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
NH
-
- Specialist
- Presque Isle, ME
- NPI 1386677169
-
- Diagnostic Radiology Physician
- York, ME
- NPI 1326024365
-
- Neurology Physician
- Yonkers, NY
- NPI 1114950136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1164409264",
"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": "207-777-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 STATE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013776",
"telephone_number": "207-879-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREATOREX",
"first_name": "DAVID",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ME",
"license": "015632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.