Organization Active NPI

Shearwater Allergy

  • Health Service Clinic/Center
  • Yarmouth, ME
National Provider Identifier
1194197079
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SHEARWATER ALLERGY
Practice address
10 Forest Falls Dr
Unit #10 Royal River Center
Yarmouth, ME 04096-6936
Phone
(207) 846-7676
Fax
(207) 846-7675
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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.
Title
Owner
Phone
(207) 846-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

10 Forest Falls Dr
Unit #10 Royal River Center
Yarmouth, ME 04096-6936

Mailing address

10 Forest Falls Dr
Unit #10 Royal River Center
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.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1194197079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOREST FALLS DR",
            "address_2": "UNIT #10 ROYAL RIVER CENTER",
            "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 #10 ROYAL RIVER CENTER",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966936",
            "telephone_number": "207-846-7676",
            "fax_number": "207-846-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEARWATER ALLERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "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": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "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 Oct 30, 2015; 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.