Standish Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STANDISH FAMILY PRACTICE

Practice address

36 Ossipee Trail West
Standish, ME 04084

Phone

(207) 642-4434

Fax

(207) 642-4439

NPI assigned

Jan 18, 2007

Last updated

Apr 7, 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

Russell Remalia, DONPI 1710073507

Title

Owner and Provider

Phone

(207) 642-4434

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Russell G Remalia, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Cumming, GA
  • NPI 1710073507
  NPD (past) Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1265584015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1537",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040841537",
            "telephone_number": "207-642-4434",
            "fax_number": "207-642-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OSSIPEE TRAIL WEST",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "04084",
            "telephone_number": "207-642-4434",
            "fax_number": "207-642-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDISH FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "REMALIA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "207-642-4434",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M107390",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherrie L St. Thomas-Simoneau, LCSW
• Standish Denture Center
• Standish Denture Center LLC
• Standish Denture Center,LLC
• Standish Family Dental Health
• Rachel Stearns
• Fernanda Steed, FNP
• Kristen Hope Terwilliger
• Alyssa Nicole Thomas, DO
• Town of Standish (DBA Standish EMS)

• Family Medicine Physician in Standish, ME
• Providers in Standish, 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 7, 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.