Active NPI
Mainegeneral Health Associates
Doing business as Gardiner Family Practice
- Family Medicine Physician
- Gardiner, ME
National Provider Identifier
1215992284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara A Crowley, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pediatrics Physician
- Augusta, ME
- NPI 1437123197
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
- Colin Lucas
- M.S.a.D. #11
- Robert L Maierhofer, PH.D.
- Maine General Health Rehabilitation & Long Term Care (Alzheimer's Care Center Adult Day Services)
- Maine General Health Rehabilitation & Long Term Care (Alzheimer's Care Center)
- Mainegeneral Health Associates (Rheumatology)
- Clifton Malcolm
- Maxi Drug North Inc (Brooks)
- Kristi McKenzie, PHARM D
- Deborah Katherine McLinn, PH.D.
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.