Organization Active NPI

Edward B Kitfield III

  • Family Medicine Physician
  • Wiscasset, ME
National Provider Identifier
1285867044
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
008477 Issued in ME
Legal business name
EDWARD B KITFIELD III
Doing business as
Wiscasset Family Medicine
Practice address
66 Water Street
Wiscasset, ME 04578
Phone
(207) 882-6008
Fax
(207) 882-7803
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Edward B. Kitfield III, MDNPI 1427062728
Title
Owner/Physician
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 008477 ME Primary

Addresses

Primary practice location

66 Water Street
Wiscasset, ME 04578

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
108450000MedicaidME

Other names 1

  • Wiscasset Family Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1285867044",
    "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": "66 WATER STREET",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "04578",
            "telephone_number": "207-882-6008",
            "fax_number": "207-882-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD B KITFIELD III",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "KITFIELD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "207-882-6008",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "008477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108450000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiscasset Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2009; 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.