Anthony S Pakiam, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

015247 Issued in ME

Practice address

56 Winthrop St
Augusta, ME 04330-5501

Phone

(207) 626-0481

Fax

(207) 622-6078

NPI assigned

Feb 24, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1164498630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WINTHROP ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305501",
            "telephone_number": "207-626-0481",
            "fax_number": "207-622-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WINTHROP ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305501",
            "telephone_number": "207-626-0481",
            "fax_number": "207-622-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKIAM",
        "first_name": "ANTHONY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "015247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133200099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Otero Flores, PH.D.
• Peter Ottaviano, RPH
• Nicole Laurie Ouellette, ACNPC-AG
• Vicky Maureen Packard
• Lucille Painchaud, PE
• Rita Margaret Pakulski, RN-C
• Cristel Palma-Vargas
• Diane Palmer-Angelo, RN
• Terry Wayne Palmer, CRNA
• Rebecca Suzanne Panassow, PA-C

• Neurology Physician in Augusta, ME
• Providers in Augusta, ME by specialty
• Neurology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.