Wardwell Point Whole Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

013248 Issued in ME

Legal business name

WARDWELL POINT WHOLE HEALTH

Practice address

RR 1 Box 56
Wardwell Point Rd.
Penobscot, ME 04476-9705

Phone

(207) 497-2996

Fax

(207) 497-3467

NPI assigned

Apr 5, 2007

Last updated

Jun 27, 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

Jerri Jensen, MDNPI 1902919335

Title

Owner

Phone

(207) 497-2996

Specialties & licenses 1

Addresses

Other identifiers 7

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.

• Jerri Jensen, M.D.

  • Family Medicine Physician
  • New Canaan, CT
  • NPI 1902919335
  NPD (past) Authorized official

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1265554604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 MASON BAY RD",
            "city": "JONESPORT",
            "state": "ME",
            "postal_code": "046493501",
            "telephone_number": "207-497-2996",
            "fax_number": "207-497-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 56",
            "address_2": "WARDWELL POINT RD.",
            "city": "PENOBSCOT",
            "state": "ME",
            "postal_code": "044769705",
            "telephone_number": "207-497-2996",
            "fax_number": "207-497-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARDWELL POINT WHOLE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-497-2996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "013248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189960000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4254797",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "E48086",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3342110",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "046639",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3087",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "E004797",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Arends Murphy, C.P.M.
• Penobscot Elementary School
• School Union 93
• Terese Swebilius
• Sara Trafton

• Family Medicine Physician in Penobscot, ME
• Providers in Penobscot, 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 Jun 27, 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.