Wellspring Family Medical Associates, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

008890 Issued in ME

Legal business name

WELLSPRING FAMILY MEDICAL ASSOCIATES, PA

Practice address

4 Wellspring Rd
Biddeford, ME 04005-9401

Phone

(207) 282-3369

Fax

(207) 282-9920

NPI assigned

Nov 8, 2006

Last updated

Apr 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert R Sholl, MDNPI 1457449423

Title

Owner and Provider

Phone

(207) 282-3369

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Robert R Sholl, MD

  • Family Medicine Physician
  • Biddeford, ME
  • NPI 1457449423
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1235208513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WELLSPRING RD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059401",
            "telephone_number": "207-282-3369",
            "fax_number": "207-282-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WELLSPRING RD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059401",
            "telephone_number": "207-282-3369",
            "fax_number": "207-282-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FAMILY MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "SHOLL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "207-282-3369",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "008890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1044626",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M158",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "666575",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Webber Hospital Association (SMMC Hospitalist)
• Webber Hospital Association (SMMC Pediatrics Biddeford)
• Jessica Ann Weeks, MD
• Well Rooted Health
• Matthew Edward Wells, LCSW
• Kara Lyn Welsh, LMT
• Caitlin Ann Wesling, PA-C
• Merle H Westbrook, ANP
• Robert Octave Westcot II, MD
• Gema Wheatley, BCBA

• Family Medicine Physician in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.