Organization Active NPI

Mainegeneral Health Associates

Doing business as Gardiner Family Practice

  • Family Medicine Physician
  • Gardiner, ME
National Provider Identifier
1215992284
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAINEGENERAL HEALTH ASSOCIATES
Doing business as
Gardiner Family Practice
Practice address
152 Dresden Ave
Gardiner, ME 04345-2615
Phone
(207) 582-6608
Fax
(207) 582-2258
NPI assigned
Apr 20, 2006
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Barbara A Crowley, MDNPI 1437123197
Title
President, Mgha
Phone
(207) 626-1063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

152 Dresden Ave
Gardiner, ME 04345-2615

Mailing address

150 Dresden Ave
Gardiner, ME 04345-2615
Phone (207) 621-9337

Other names 1

  • Gardiner Family Practice Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1215992284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DRESDEN AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452615",
            "telephone_number": "207-621-9337",
            "fax_number": "207-621-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 DRESDEN AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452615",
            "telephone_number": "207-582-6608",
            "fax_number": "207-582-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEGENERAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, MGHA",
        "authorized_official_telephone_number": "207-626-1063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardiner Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardiner, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.