Individual provider Active NPI

Erin Colleen Dawson-Chalat, M.D.

  • Obstetrics & Gynecology Physician
  • Scarborough, ME
National Provider Identifier
1447240791
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
013242 Issued in ME
Practice address
71 U.S. Route One, Suite a
Elevation Center
Scarborough, ME 04074-9375
Phone
(207) 885-8400
Fax
(207) 885-8499
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 013242 ME Primary

Addresses

Primary practice location

71 U.S. Route One, Suite a
Elevation Center
Scarborough, ME 04074-9375

Mailing address

71 U.S. Route One, Suite a
Elevation Center
Scarborough, ME 04074-9375
Phone (207) 885-8400

Other identifiers 5

IdentifierTypeStateIssuer
1042466OtherMEAETNA
254200099MedicaidME
017585OtherMEANTHEM
M3840OtherMECIGNA
160031180OtherMEGBA PALMETTO/RR MEDICARE

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
I20101229000251 ME Practitioner - Obstetrics/Gynecology 9436347879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Vermont College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Women'S HealthcareGroup PAC ID 4385738087, 17 clinicians

Practice addresses (Care Compare)

71 US Route 1
Suite a
Scarborough, ME 04074-7168
Phone (207) 885-8400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013242MEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Women'S Healthcare CurrentSince Jul 12, 1992 Accepting new patients
Maine Medical Partners Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Maine Medical Partners CurrentSince Jan 1, 2020 Accepting new patients

Locations

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

71 US Route 1
Ste A
Scarborough, ME 04074
Phone (207) 885-8400

Interoperability endpoints

  • Direct secure messaging: edawson1@coastalwomenshealthcare.gwaydirect.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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1447240791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 U.S. ROUTE ONE, SUITE A",
            "address_2": "ELEVATION CENTER",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749375",
            "telephone_number": "207-885-8400",
            "fax_number": "207-885-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 U.S. ROUTE ONE, SUITE A",
            "address_2": "ELEVATION CENTER",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749375",
            "telephone_number": "207-885-8400",
            "fax_number": "207-885-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON-CHALAT",
        "first_name": "ERIN",
        "middle_name": "COLLEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "013242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1042466",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254200099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "017585",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M3840",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GBA PALMETTO/RR MEDICARE",
            "identifier": "160031180",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.