Eastern Maine Healthcare Systems Inland Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

36353 Issued in ME

Legal business name

EASTERN MAINE HEALTHCARE SYSTEMS INLAND HOSPITAL

Practice address

200 Kennedy Memorial Dr
Waterville, ME 04901-4526

Phone

(207) 861-3152

Fax

(207) 861-3025

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dean Bither

Title

V.P. Finance

Phone

(207) 861-3013

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

• Oksana Yerokhina, MD

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1558833715
  NPD (past)
• Monico Peter Banez, MD

  • Hospitalist Physician
  • Jackson, TN
  • NPI 1962479451
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1376579557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014526",
            "telephone_number": "207-861-3152",
            "fax_number": "207-861-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014526",
            "telephone_number": "207-861-3152",
            "fax_number": "207-861-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MAINE HEALTHCARE SYSTEMS INLAND HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "BITHER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "V.P. FINANCE",
        "authorized_official_telephone_number": "207-861-3013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ME",
            "license": "36353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102170000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "0000050",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessika Lynn Duprey, B.S., CADC, MHRT/C
• Michael P Durr, M.D.
• Savanna Dutil, LCSW
• Amy Champagne Dyer, DPT
• Joshua Kevin Dyer, CADC
• Emmanuel Ebhohimen, MD
• Linda Emma Edwards, RN-C, LCPC, CADC
• Dorothy I Eisengart, MD
• Marvin A Eisengart, MD
• George Albaran Elias, D.O.

• All providers in Waterville, ME
• General Acute Care Hospital in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.