Individual provider Active NPI

Tevis H Gearan, MD

  • Internal Medicine Physician
  • Falmouth, ME
National Provider Identifier
1205942877
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD16831 Issued in ME
Practice address
5 Bucknam Rd
Suite 2B
Falmouth, ME 04105-1392
Phone
(207) 662-1622
Fax
(207) 774-1814
NPI assigned
Aug 23, 2006
Last updated
Oct 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD16831 ME Primary

Addresses

Primary practice location

5 Bucknam Rd
Suite 2B
Falmouth, ME 04105-1392

Mailing address

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

Other names 1

  • Tevis Hatch Former name

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
I20050928001155 ME Practitioner - Internal Medicine 8224020441 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16831MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Sep 1, 2005 Accepting new patients
Maine Medical Partners CurrentSince Nov 10, 2019 Accepting new patients
Maine Medical Partners Internal Medicine Current Accepting new patients
Mainehealth CurrentSince May 6, 2013 Accepting new patients
Maine Medical Partners CurrentSince Sep 1, 2005 Accepting new patients
Maine Medical Partners Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

22 Bramhall St
Rm 2227
Portland, ME 04102
Phone (207) 662-4618

272 Congress St
Portland, ME 04101
Phone (207) 874-2466

5 Bucknam Rd
Ste 2B
Portland, ME 04105
Phone (207) 781-1600

100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone (207) 396-7565

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1205942877",
    "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": "5 BUCKNAM RD",
            "address_2": "SUITE 2B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051392",
            "telephone_number": "207-662-1622",
            "fax_number": "207-774-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARAN",
        "first_name": "TEVIS",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD16831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEVIS",
            "last_name": "HATCH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.