Individual provider Active NPI

John M Woytowicz, MD

  • Family Medicine Physician
  • Auburn, ME
National Provider Identifier
1205802212
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD12977 Issued in ME
Practice address
2 Great Falls PLZ Ste 21
Auburn, ME 04210-5966
Phone
(207) 330-3950
Fax
(207) 330-3955
NPI assigned
Feb 28, 2006
Last updated
May 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD12977 ME Primary

Addresses

Primary practice location

2 Great Falls PLZ Ste 21
Auburn, ME 04210-5966

Mailing address

C/O St Marys Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950

Other practice location 1

15 E Chestnut St
Augusta, ME 04330-5736
Phone (207) 626-1561

Other practice location 2

100 Campus Ave Ste 201
Lewiston, ME 04240-6049
Phone (207) 755-3445

Other identifiers 1

IdentifierTypeStateIssuer
302320099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000475 ME Practitioner - Family Practice 0547205197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Pennsylvania, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

730 Ctr St
Suite 9
Auburn, ME 04210-6316
Phone (207) 783-3450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Regional Medical Center CurrentSince Feb 10, 2020 Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 23, 1990 Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 23, 1990 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Feb 10, 2020 Accepting new patients

Locations

15 E Chestnut St
Augusta, ME 04330
Phone (207) 626-1561

100 Campus Ave
Ste 201
Lewiston, ME 04240
Phone (207) 755-3445

100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974

106 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3383

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

149 North St
Waterville, ME 04901
Phone (207) 622-1959

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1205802212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT",
            "address_2": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8950",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREAT FALLS PLZ STE 21",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105966",
            "telephone_number": "207-330-3950",
            "fax_number": "207-330-3955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043305736",
            "country_code": "US",
            "telephone_number": "207-626-1561",
            "fax_number": "207-626-1849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Campus Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406049",
            "country_code": "US",
            "telephone_number": "207-755-3445",
            "fax_number": "207-755-3475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOYTOWICZ",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD12977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302320099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

Verify at the official NPI Registry.