Active NPI
Edward B. Kitfield III, MD
- Family Medicine Physician
- Wiscasset, ME
National Provider Identifier
1427062728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 008477
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108450199 | Medicaid | ME |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008477 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Edward B Kitfield III | Family Medicine | Past | Accepting new patients |
Locations
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- Family Medicine Physician
- Wiscasset, ME
- NPI 1285867044
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.