Organization Active NPI

Austin Medical Products

  • Prosthetic/Orthotic Supplier
  • Portland, ME
National Provider Identifier
1174124390
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
AUSTIN MEDICAL PRODUCTS
Practice address
21 Evergreen Dr
Portland, ME 04103-1067
Phone
(603) 356-7004
Fax
(603) 356-3141
NPI assigned
Nov 4, 2020
Last updated
Nov 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Crystal Brown
Title
Vice President
Phone
(603) 356-7004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

21 Evergreen Dr
Portland, ME 04103-1067

Mailing address

21 Evergreen Dr
Portland, ME 04103-1067
Phone (603) 356-7004

National Provider Directory

National Provider Directory

Locations

21 Evergreen Dr
Portland, ME 04103
Phone (603) 356-7004

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1174124390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EVERGREEN DR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031067",
            "telephone_number": "603-356-7004",
            "fax_number": "603-356-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EVERGREEN DR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031067",
            "telephone_number": "603-356-7004",
            "fax_number": "603-356-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN MEDICAL PRODUCTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "603-356-7004"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "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 Nov 4, 2020; 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.