Active NPI
Scott Roby, DO
- General Practice Physician
- Lewiston, ME
National Provider Identifier
1285606236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME890
- Practice address
- 300 Main St
Lewiston, ME 04240-7007 - Phone
- (207) 795-0111
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 891 | ME | |
| General Practice Physician | 208D00000X | ME890 | ME | Primary |
Addresses
Primary practice location
300 Main St
Lewiston, ME 04240-7007
Mailing address
300 Main St
Lewiston, ME 04240-7007
Phone (207) 795-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 891 | ME | MD | Emergency Medicine Physician |
| ME890 | ME | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1285606236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407007",
"telephone_number": "207-795-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407007",
"telephone_number": "207-795-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBY",
"first_name": "SCOTT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "891",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "ME",
"license": "ME890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.