Organization Active NPI

Western Mountian Surgical

  • Surgery Physician
  • Farmington, ME
National Provider Identifier
1356561443
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
006223 Issued in ME
Legal business name
WESTERN MOUNTIAN SURGICAL
Practice address
167 Livermore Falls Rd
Farmington, ME 04938-6241
Phone
(207) 778-6579
NPI assigned
Apr 30, 2007
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
Mr. David Dixon, MD
Title
Doctor
Phone
(207) 778-6579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 006223 ME Primary

Addresses

Primary practice location

167 Livermore Falls Rd
Farmington, ME 04938-6241

Mailing address

167 Livermore Falls Rd
Farmington, ME 04938-6241
Phone (207) 778-6579

National Provider Directory

National Provider Directory
Tax ID family
Western Mountain Surgical Care PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356561443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 LIVERMORE FALLS RD",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386241",
            "telephone_number": "207-778-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 LIVERMORE FALLS RD",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386241",
            "telephone_number": "207-778-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MOUNTIAN SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "207-778-6579",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "ME",
            "license": "006223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, 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.