Active NPI
Robert S Lamorgese, MD
- Internal Medicine Physician
- Patten, ME
National Provider Identifier
1174685143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- TD111107
- Practice address
- 30 Houlton St
Patten, ME 04765 - Phone
- (207) 528-2285
- Fax
- (207) 528-2880
- NPI assigned
- Dec 15, 2006
- Last updated
- Nov 23, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA031695 | NJ | |
| Internal Medicine Physician | 207R00000X | TD111107 | ME | Primary |
Addresses
Primary practice location
30 Houlton St
Patten, ME 04765
Mailing address
PO Box 500
Patten, ME 04765-0500
Phone (207) 528-2285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1079301 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA031695 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Pri-Med Care PA | Past | Accepting new patients | |
| Katahdin Valley Health Center | Past | Accepting new patients | |
| Health Care Plus, PC | Past | Accepting new patients | |
| G&S Medical Associates LLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1174685143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 500",
"city": "PATTEN",
"state": "ME",
"postal_code": "047650500",
"telephone_number": "207-528-2285",
"fax_number": "207-528-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HOULTON ST",
"city": "PATTEN",
"state": "ME",
"postal_code": "04765",
"telephone_number": "207-528-2285",
"fax_number": "207-528-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMORGESE",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA031695",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "TD111107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1079301",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Patten, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.