Active NPI
Elizabeth Anne McBride, M.D.
- Specialist
- Belfast, ME
National Provider Identifier
1427047802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 015045
- Practice address
- 116 Northport Ave
Suite 118
Belfast, ME 04915-6095 - Phone
- (207) 338-4409
- Fax
- (207) 338-4486
- NPI assigned
- Oct 18, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 015045 | ME | Primary |
Addresses
Primary practice location
116 Northport Ave
Suite 118
Belfast, ME 04915-6095
Mailing address
116 Northport Ave
Suite 118
Belfast, ME 04915-6095
Phone (207) 338-4409
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037728 | Other | ME | ANTHEM |
| 3375158 | Other | ME | AETNA |
| 324850099 | Other | ME | MEDICAID/MAINECARE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015045 | ME | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Otolaryngology Surgery | Specialist | 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
- Belfast, ME
- NPI 1043297179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1427047802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 NORTHPORT AVE",
"address_2": "SUITE 118",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156095",
"telephone_number": "207-338-4409",
"fax_number": "207-338-4486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 NORTHPORT AVE",
"address_2": "SUITE 118",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156095",
"telephone_number": "207-338-4409",
"fax_number": "207-338-4486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-18",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "015045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "037728",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3375158",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID/MAINECARE",
"identifier": "324850099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belfast, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.