Active NPI
Robert C. Kahn, M.D.
- Surgery Physician
- Damariscotta, ME
National Provider Identifier
1366443558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD17958
- Practice address
- 24 Miles Center Way
Damariscotta, ME 04543-4047 - Phone
- (207) 563-4252
- Fax
- (207) 563-4275
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 26018 | NC | |
| Surgery Physician | 208600000X | MD17958 | ME | Primary |
Addresses
Primary practice location
24 Miles Center Way
Damariscotta, ME 04543-4047
Mailing address
24 Miles Center Way
Damariscotta, ME 04543-4047
Phone (207) 563-4252
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433017299 | Medicaid | ME | |
| 8947772 | Medicaid | NC | |
| 0260C | Other | NC | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26018 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roanoke Chowan Surgery Center | Surgery | 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.
-
- Surgery Physician
- Ahoskie, NC
- NPI 1417919689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1366443558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MILES CENTER WAY",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434047",
"telephone_number": "207-563-4252",
"fax_number": "207-563-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MILES CENTER WAY",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434047",
"telephone_number": "207-563-4252",
"fax_number": "207-563-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "ROBERT",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "26018",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "MD17958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433017299",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8947772",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0260C",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Damariscotta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.