Organization Active NPI

Great Works Family Practice, P.a.

  • Family Medicine Physician
  • South Berwick, ME
National Provider Identifier
1356394902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREAT WORKS FAMILY PRACTICE, P.A.
Practice address
57 Portland St
Suite 2a
South Berwick, ME 03908-1203
Phone
(207) 384-9212
Fax
(207) 384-2008
NPI assigned
May 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fia R Yarian
Title
Office Manager
Phone
(207) 384-9212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

57 Portland St
Suite 2a
South Berwick, ME 03908-1203

Mailing address

57 Portland St
Suite 2a
South Berwick, ME 03908-1203
Phone (207) 384-9212

National Provider Directory

National Provider Directory

Locations

57 Portland St
Ste 2A
South Berwick, ME 03908
Phone (207) 384-9212

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356394902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PORTLAND ST",
            "address_2": "SUITE 2A",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081203",
            "telephone_number": "207-384-9212",
            "fax_number": "207-384-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PORTLAND ST",
            "address_2": "SUITE 2A",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081203",
            "telephone_number": "207-384-9212",
            "fax_number": "207-384-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT WORKS FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YARIAN",
        "authorized_official_first_name": "FIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-384-9212"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Berwick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.