Active NPI
Eric Eugene Anderson, L.AC.
- Acupuncturist
- Poland Spring, ME
National Provider Identifier
1356564645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC199
- Practice address
- 295 Summit Spring Rd
Poland Spring, ME 04274-6709 - Phone
- (207) 998-2437
- Fax
- (207) 998-3517
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC199 | ME | Primary |
Addresses
Primary practice location
295 Summit Spring Rd
Poland Spring, ME 04274-6709
Mailing address
295 Summit Spring Rd
Poland Spring, ME 04274-6709
Phone (207) 998-2437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043253 | Other | ME | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC199 | ME | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adaptive Movement Services P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Poland Spring, ME
- NPI 1578687489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356564645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 SUMMIT SPRING RD",
"city": "POLAND SPRING",
"state": "ME",
"postal_code": "042746709",
"telephone_number": "207-998-2437",
"fax_number": "207-998-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 SUMMIT SPRING RD",
"city": "POLAND SPRING",
"state": "ME",
"postal_code": "042746709",
"telephone_number": "207-998-2437",
"fax_number": "207-998-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ERIC",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "ME",
"license": "AC199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "043253",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poland Spring, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.