NPIMap

Organization Active NPI

Western Maine Multi-Medical Specialists

Doing business as Stephens Memorial Specialty Clinic

  • Cardiovascular Disease Physician
  • Norway, ME
National Provider Identifier
1205009156
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
WESTERN MAINE MULTI-MEDICAL SPECIALISTS
Doing business as
Stephens Memorial Specialty Clinic
Western Maine Specialty Clinic
Practice address
199 Main St
Norway, ME 04268-5639
Phone
(207) 743-1562
Fax
(207) 743-1566
NPI assigned
Apr 10, 2008
Last updated
Feb 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
John Cox
Title
Senior VP Fiscal
Phone
(207) 743-1562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

199 Main St
Norway, ME 04268-5639

Mailing address

301 US Route 1
Building C
Scarborough, ME 04074-7609
Phone (207) 396-8600

Other names 2

  • Stephens Memorial Specialty Clinic Doing business as
  • Western Maine Specialty Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1205009156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 US ROUTE 1",
            "address_2": "BUILDING C",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747609",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685639",
            "telephone_number": "207-743-1562",
            "fax_number": "207-743-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MAINE MULTI-MEDICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SENIOR VP FISCAL",
        "authorized_official_telephone_number": "207-743-1562"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephens Memorial Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Maine Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norway, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.