NPIMap

Organization Active NPI

Nancy J. Oliphant MD PA

  • Family Medicine Physician
  • Boothbay Harbor, ME
National Provider Identifier
1326229741
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
014473 Issued in ME
Legal business name
NANCY J. OLIPHANT MD PA
Practice address
185 Townsend Ave Ste R
Boothbay Harbor, ME 04538-1895
Phone
(207) 633-1075
Fax
(207) 633-1067
NPI assigned
Nov 15, 2007
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Nancy J Oliphant, MD
Title
President
Phone
(207) 633-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 014473 ME Primary

Addresses

Primary practice location

185 Townsend Ave Ste R
Boothbay Harbor, ME 04538-1895

Mailing address

185 Townsend Ave Ste R
Boothbay Harbor, ME 04538-1895
Phone (207) 633-1075

Other identifiers 1

IdentifierTypeStateIssuer
037742OtherBC/BS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1326229741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 TOWNSEND AVE STE R",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381895",
            "telephone_number": "207-633-1075",
            "fax_number": "207-633-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TOWNSEND AVE STE R",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381895",
            "telephone_number": "207-633-1075",
            "fax_number": "207-633-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY J. OLIPHANT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "OLIPHANT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-633-1075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "014473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "037742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boothbay Harbor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.