NPIMap

Organization Active NPI

Wiscasset Family Health

  • Family Medicine Physician
  • Wiscasset, ME
National Provider Identifier
1235679838
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WISCASSET FAMILY HEALTH
Practice address
35 Water St
Wiscasset, ME 04578-4134
Phone
(207) 882-6008
Fax
(207) 882-7803
NPI assigned
Mar 1, 2017
Last updated
Aug 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Cortney Linville, DONPI 1366559957
Title
Owner
Phone
(207) 882-6008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
General Practice Physician 208D00000X 1886 ME

Addresses

Primary practice location

35 Water St
Wiscasset, ME 04578-4134

Mailing address

PO Box 351
Wiscasset, ME 04578-0351
Phone (207) 882-6008

Other identifiers 1

IdentifierTypeStateIssuer
1235679838MedicaidME

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Other Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170601000471 ME Part B Supplier - Clinic/Group Practice 3476820184 Receives reassigned benefits from 7 practitioners
Practice locations: Wiscasset, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0089773Wiscasset Family Health35 Water Street, Wiscasset, ME 04578Certificate of waiverJan 17, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1235679838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045780351",
            "telephone_number": "207-882-6008",
            "fax_number": "207-882-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WATER ST",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784134",
            "telephone_number": "207-882-6008",
            "fax_number": "207-882-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCASSET FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2022-08-10",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "LINVILLE",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-882-6008",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ME",
            "license": "1886",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235679838",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "35 Water St",
            "city": "Wiscasset",
            "state": "ME",
            "country_code": "US",
            "postal_code": "045784133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wiscasset, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.