Active NPI
Louis Jordan Irwin, M.D.
- Anesthesiology Physician
- Bangor, ME
National Provider Identifier
1346327749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0420008251
- Practice address
- 489 State St
Bangor, ME 04401-6616 - Phone
- (207) 973-7000
- Fax
- (207) 973-5042
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0420008251 | VT | Primary |
Addresses
Primary practice location
489 State St
Bangor, ME 04401-6616
Mailing address
43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006
Phone (207) 973-5035
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00029589 | Other | VT | BLUE SHIELD |
| 833580 | Other | VT | MVP |
| 0VN2424 | Medicaid | VT | |
| 8001321 | Other | VT | LADIES FIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Virginia Commonwealth University, School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
309 Belmont St
Worcester, MA 01604-1059
Phone (508) 368-0704
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420008251 | VT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| Williamson Hma Physician Management LLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Worcester, MA
- NPI 1275680456
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1427111574
-
- Family Medicine Physician
- Williamson, WV
- NPI 1639122690
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1346327749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 WHITING HILL RD STE 300",
"city": "BREWER",
"state": "ME",
"postal_code": "044121006",
"telephone_number": "207-973-5035",
"fax_number": "207-973-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016616",
"telephone_number": "207-973-7000",
"fax_number": "207-973-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "LOUIS",
"middle_name": "JORDAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VT",
"license": "0420008251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00029589",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "833580",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN2424",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LADIES FIRST",
"identifier": "8001321",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.