Active NPI
Gwendolyn Oguin, DO
- Family Medicine Physician
- Scarborough, ME
National Provider Identifier
1205924347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1134
- Practice address
- 20 Mussey Rd
Suite 2
Scarborough, ME 04074-9570 - Phone
- (207) 885-1333
- Fax
- (207) 885-1337
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1134 | ME | Primary |
Addresses
Primary practice location
20 Mussey Rd
Suite 2
Scarborough, ME 04074-9570
Mailing address
10 Forest Falls Dr
Suite 2B
Yarmouth, ME 04096-6936
Phone (207) 846-8722
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050711000343 | ME | Practitioner - Family Practice | 8224064423 | Practice locations: Scarborough, ME |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1134 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Medicine LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1205924347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FOREST FALLS DR",
"address_2": "SUITE 2B",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040966936",
"telephone_number": "207-846-8722",
"fax_number": "207-846-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MUSSEY RD",
"address_2": "SUITE 2",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749570",
"telephone_number": "207-885-1333",
"fax_number": "207-885-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUIN",
"first_name": "GWENDOLYN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "1134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.