NPIMap

Organization Active NPI

X-Ray Professional Association

  • Diagnostic Radiology Physician
  • Lewiston, ME
National Provider Identifier
1366429763
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
X-RAY PROFESSIONAL ASSOCIATION
Practice address
300 Main St
Lewiston, ME 04240-7007
Phone
(207) 795-2400
NPI assigned
Dec 27, 2005
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
April Martin
Title
Business Manager
Phone
(207) 786-3571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

300 Main St
Lewiston, ME 04240-7007

Mailing address

PO Box 488
Auburn, ME 04212-0488
Phone (207) 786-3571

Other practice location 1

10 Hospital Dr
Bridgton, ME 04009-1148
Phone (207) 647-6000

Other practice location 2

420 Franklin St
Rumford, ME 04276-2104
Phone (207) 369-1000

Other practice location 3

105 Topsham Fair Mall Rd
Topsham, ME 04086-1773
Phone (207) 798-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060330000452 ME Part B Supplier - Clinic/Group Practice 8628086766 Receives reassigned benefits from 9 practitioners
Practice locations: Westbrook, ME; Topsham, ME; Rumford, ME; Lewiston, ME; Bridgton, ME
O20260303000795 FL Part B Supplier - Clinic/Group Practice 8628086766 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

12 Bates St
Ste C
Lewiston, ME 04240

12 High St
Ste 101
Lewiston, ME 04240
Phone (207) 795-5780

300 Main St
Ste 100
Lewiston, ME 04240

15 Rock Row
Ste 110
Westbrook, ME 04092
Phone (207) 303-3300

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1366429763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042120488",
            "telephone_number": "207-786-3571",
            "fax_number": "207-809-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407007",
            "telephone_number": "207-795-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgton",
            "state": "ME",
            "postal_code": "040091148",
            "country_code": "US",
            "telephone_number": "207-647-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Rumford",
            "state": "ME",
            "postal_code": "042762104",
            "country_code": "US",
            "telephone_number": "207-369-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Topsham Fair Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Topsham",
            "state": "ME",
            "postal_code": "040861773",
            "country_code": "US",
            "telephone_number": "207-798-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "X-RAY PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "207-786-3571"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.