Organization Active NPI

Shearwater Allergy, LLC

  • Clinic/Center
  • Yarmouth, ME
National Provider Identifier
1184041592
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SHEARWATER ALLERGY, LLC
Practice address
10 Forest Falls Dr
Unit 9B
Yarmouth, ME 04096-6936
Phone
(207) 846-7676
Fax
(207) 846-7675
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Dr. Paris Taylor Mansmann, M.D.NPI 1326138587
Title
Owner
Phone
(207) 846-7676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10 Forest Falls Dr
Unit 9B
Yarmouth, ME 04096-6936

Mailing address

10 Forest Falls Dr
Unit 9B
Yarmouth, ME 04096-6936
Phone (207) 846-7676

National Provider Directory

National Provider Directory
Tax ID family
Shearwater Allergy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 Forest Falls Dr
Stop 9B
Yarmouth, ME 04096
Phone (207) 846-7676

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1184041592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOREST FALLS DR",
            "address_2": "UNIT 9B",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966936",
            "telephone_number": "207-846-7676",
            "fax_number": "207-846-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOREST FALLS DR",
            "address_2": "UNIT 9B",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966936",
            "telephone_number": "207-846-7676",
            "fax_number": "207-846-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEARWATER ALLERGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "MANSMANN",
        "authorized_official_first_name": "PARIS",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-846-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.