Organization Active NPI

John F. Gaddis

  • Rural Health Clinic/Center
  • East Machias, ME
National Provider Identifier
1164660783
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
1034 Issued in ME
Legal business name
JOHN F. GADDIS
Practice address
Factory Road
East Machias, ME 04630-0189
Phone
(207) 255-3338
Fax
(307) 355-0534
NPI assigned
Feb 4, 2009
Last updated
Jul 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
John F. Gaddis, D.O.
Title
Owner
Phone
(207) 255-3338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X 1034 ME Primary

Addresses

Primary practice location

Factory Road
East Machias, ME 04630-0189

Mailing address

P.O. Box 189
Factory Road
East Machias, ME 04630-0189
Phone (207) 255-3338

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1164660783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 189",
            "address_2": "FACTORY ROAD",
            "city": "EAST MACHIAS",
            "state": "ME",
            "postal_code": "046300189",
            "telephone_number": "207-255-3338",
            "fax_number": "207-255-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FACTORY ROAD",
            "city": "EAST MACHIAS",
            "state": "ME",
            "postal_code": "046300189",
            "telephone_number": "207-255-3338",
            "fax_number": "307-355-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. GADDIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "GADDIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-255-3338",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "ME",
            "license": "1034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Machias, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.