Mid-Maine Radiology, P.a

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MID-MAINE RADIOLOGY, P.A

Practice address

149 North St
Waterville, ME 04901-4974

Phone

(207) 873-0729

Fax

(207) 873-4338

NPI assigned

Dec 29, 2005

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Hallenbeck, M.D.NPI 1760469563

Title

President

Phone

(207) 784-2554

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Jonathan J Hallenbeck, M.D.

  • Diagnostic Radiology Physician
  • Waterville, ME
  • NPI 1760469563
  NPD (past) Authorized official
• Michael S Berry, M.D.

  • Diagnostic Radiology Physician
  • Skowhegan, ME
  • NPI 1841227030
  NPD (past)
• Robin M Wood, M.D.

  • Diagnostic Radiology Physician
  • Waterville, ME
  • NPI 1083691869
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1356328421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 766",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049030766",
            "telephone_number": "207-873-0729",
            "fax_number": "207-873-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NORTH ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014974",
            "telephone_number": "207-873-0729",
            "fax_number": "207-873-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MAINE RADIOLOGY, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "HALLENBECK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-784-2554",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Maine Chiropractic Inc
• Mid Maine Gastroenterology
• Mid Maine Homeless Shelter
• Mid Maine Oral Surgery
• Mid-Maine Oral and Maxillofacial Surgery PA
• Jennifer Migliore
• Burton Miller
• Todd W Miller, M.D.
• Nora Eileen Mills, AGACNP-BC
• Paul L Minot, MD

• Diagnostic Radiology Physician in Waterville, ME
• Providers in Waterville, ME by specialty
• Diagnostic Radiology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.