Organization Active NPI

Seacoast Cardiology Associates, P.a.

  • Cardiovascular Disease Physician
  • York, ME
National Provider Identifier
1376573550
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SEACOAST CARDIOLOGY ASSOCIATES, P.A.
Practice address
12 Hospital Dr
Suite 9
York, ME 03909-1030
Phone
(207) 363-6136
Fax
(207) 363-4863
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Paula Wandland
Title
Office Manager
Phone
(207) 363-6136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

12 Hospital Dr
Suite 9
York, ME 03909-1030

Mailing address

12 Hospital Dr
Suite 9
York, ME 03909-1030
Phone (207) 363-6136

Other identifiers 1

IdentifierTypeStateIssuer
30002427MedicaidNH

National Provider Directory

National Provider Directory

Locations

12 Hospital Dr
#9
York, ME 03909
Phone (207) 363-6136

2064 Woodbury Ave
Ste 1103
Newington, NH 03801
Phone (603) 431-6691

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1376573550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HOSPITAL DR",
            "address_2": "SUITE 9",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091030",
            "telephone_number": "207-363-6136",
            "fax_number": "207-363-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HOSPITAL DR",
            "address_2": "SUITE 9",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091030",
            "telephone_number": "207-363-6136",
            "fax_number": "207-363-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST CARDIOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "WANDLAND",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-363-6136"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30002427",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.