Active NPI
Northern Maine Ambulatory Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Presque Isle, ME
National Provider Identifier
1306951231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 36488
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490003212 | Other | ME | RAILROAD MEDICARE |
| 9107978 | Other | ME | CIGNA |
| 026465 | Other | ME | ANTHEM |
| 5989270 | Other | ME | AETNA |
| 130120000ME | Medicaid | ME |
National Provider Directory
National Provider DirectoryNPI 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
- Nehe-MRI, L.L.C.
- James Carmody Neumayer, D.C.
- Nicole D. Newcomb
- Joanna Lee Newlands, LPN/CF-M
- Nmofs Ambulatory Surgical Center PC
- Northern Maine ENT Associates
- Northern Maine ENT Associates PA
- Northern Maine Eyewear LLC
- Northern Maine Oral & Facial Surgery PA
- Northern Maine Oral & Facial Surgery, PA
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.