Martin Francis Wesolowski, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2252 Issued in ME

Practice address

575 Main St
Gorham, ME 04038-1339

Phone

(207) 839-2559

Fax

(207) 523-1135

NPI assigned

Nov 18, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
• Direct secure messaging: martin.wesolowski@1123041712340996.direct.elationemr.com
• Direct secure messaging: martin.wesolowski.1@5857.direct.athenahealth.com

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.

• Martin'S Point Health Care, Inc.

  • Family Medicine Physician
  • Portland, ME
  • NPI 1366474611
  Medicare reassignment NPD
• Spectrum Healthcare Partners, P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • Portland, ME
  • NPI 1386757607
  NPD (past)

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1437487121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9746",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045040",
            "telephone_number": "207-791-3888",
            "fax_number": "207-828-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381339",
            "telephone_number": "207-839-2559",
            "fax_number": "207-523-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESOLOWSKI",
        "first_name": "MARTIN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "2252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437487121",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martin.wesolowski.1@5857.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "575 Main St",
            "city": "Gorham",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040381339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katelyn Walsh
• Grace Elaina Ward, LCPC-C
• Susan L Ward
• Alicia Warner, MS, OT/L
• Kimberly Ann Wells, FNP
• White Elm Dermatology, PLLC
• Richard K White, PH.D
• Nancy Anne Whitehouse, LMT
• Heinrich Friedrich Wichmann, B.PHARM
• Cynthia Cox Wilcox, LCSW

• Family Medicine Physician in Gorham, ME
• Providers in Gorham, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.

Verify at the official NPI Registry.