Organization Active NPI

Western Maine Multi-Medical Specialists

Doing business as Western Maine Family Practice

  • Family Medicine Physician
  • Norway, ME
National Provider Identifier
1205150323
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WESTERN MAINE MULTI-MEDICAL SPECIALISTS
Doing business as
Western Maine Family Practice
Practice address
34 Winter St
Norway, ME 04268-5620
Phone
(207) 743-8031
Fax
(207) 743-6672
NPI assigned
Mar 18, 2010
Last updated
Oct 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
John Cox
Title
Sr VP Fiscal
Phone
(207) 743-9292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

34 Winter St
Norway, ME 04268-5620

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
127080103MedicaidME
127080007MedicaidME

Other names 1

  • Western Maine Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

34 Winter St
Norway, ME 04268
Phone (207) 743-8031

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

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1205150323",
    "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": "34 WINTER ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685620",
            "telephone_number": "207-743-8031",
            "fax_number": "207-743-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MAINE MULTI-MEDICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SR VP FISCAL",
        "authorized_official_telephone_number": "207-743-9292"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127080103",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127080007",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Maine Family Practice",
            "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 Oct 10, 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.