Active NPI
Andrew Stuart Nicholson, M.D.
- Family Medicine Physician
- Gorham, ME
National Provider Identifier
1295912665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD15480
- Practice address
- 130 Main St
Gorham, ME 04038-1319 - Phone
- (207) 839-5551
- NPI assigned
- Jan 28, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD15480 | ME | Primary |
Addresses
Primary practice location
130 Main St
Gorham, ME 04038-1319
Mailing address
130 Main St
Gorham, ME 04038-1319
Phone (207) 839-5551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Howard University College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
130 Main St
Gorham, ME 04038-1319
Phone (207) 839-5551
Hospital & facility affiliations
- Mainehealth Home Health and Hospice
- Centerwell Home Health
- Northern Light Mercy Hospital
- Mainehealth Maine Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gorham Primary Care PC | Family Medicine | Current | Accepting new patients |
| Midcoast Medicine, PA | Family Medicine | Past | Accepting new patients |
Locations
130 Main St
Gorham, ME 04038
Phone (207) 839-4775
Interoperability endpoints
- andrew.nicholson@395027589431300.direct.elationemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Gorham, ME
- NPI 1851558399
-
- Family Medicine Physician
- Rockport, ME
- NPI 1346328242
Hospital & facility affiliations 41
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- South Portland, ME
- NPI 1255362943
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1295912665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MAIN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381319",
"telephone_number": "207-839-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAIN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381319",
"telephone_number": "207-839-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "ANDREW",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-28",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD15480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.