Organization Active NPI

Northern Maine Ambulatory Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Presque Isle, ME
National Provider Identifier
1306951231
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
36488 Issued in ME
Legal business name
NORTHERN MAINE AMBULATORY ENDOSCOPY CENTER
Practice address
11 Martin St
Presque Isle, ME 04769-2238
Phone
(207) 764-0679
Fax
(207) 764-1569
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
William Silber
Title
President
Phone
(207) 764-0679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 36488 ME Primary

Addresses

Primary practice location

11 Martin St
Presque Isle, ME 04769-2238

Mailing address

11 Martin St
Presque Isle, ME 04769-2238
Phone (207) 764-0679

Other identifiers 5

IdentifierTypeStateIssuer
490003212OtherMERAILROAD MEDICARE
9107978OtherMECIGNA
026465OtherMEANTHEM
5989270OtherMEAETNA
130120000MEMedicaidME

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1306951231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MARTIN ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692238",
            "telephone_number": "207-764-0679",
            "fax_number": "207-764-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MARTIN ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692238",
            "telephone_number": "207-764-0679",
            "fax_number": "207-764-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MAINE AMBULATORY ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SILBER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-764-0679"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "ME",
            "license": "36488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490003212",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9107978",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "026465",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5989270",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130120000ME",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.