Individual provider Active NPI

Edward B. Kitfield III, MD

  • Family Medicine Physician
  • Wiscasset, ME
National Provider Identifier
1427062728
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
008477 Issued in ME
Practice address
66 Water STR
Wiscasset, ME 04578-4133
Phone
(207) 882-6008
Fax
(208) 882-7803
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 008477 ME Primary

Addresses

Primary practice location

66 Water STR
Wiscasset, ME 04578-4133

Mailing address

PO Box 351
Wiscasset, ME 04578-4133
Phone (207) 882-6008

Other identifiers 1

IdentifierTypeStateIssuer
108450199MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000842 ME Practitioner - Family Practice 4587683057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
008477MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Jan 31, 2013 Accepting new patients
Mainegeneral Medical Center CurrentSince Jan 31, 2013 Accepting new patients
Edward B Kitfield III Family Medicine PastSince Sep 7, 1995 Accepting new patients

Locations

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: edward.kitfield@wfm.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1427062728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784133",
            "telephone_number": "207-882-6008",
            "fax_number": "208-882-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WATER STR",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784133",
            "telephone_number": "207-882-6008",
            "fax_number": "208-882-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITFIELD",
        "first_name": "EDWARD",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "008477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108450199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiscasset, ME

Sources for this page

Verify at the official NPI Registry.