NPIMap

Individual provider Active NPI

Christine M Tremblay, DO

  • Family Medicine Physician
  • Wells, ME
National Provider Identifier
1457434573
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T0646 Issued in ME
Practice address
59 Mile Road
Wells, ME 04090
Phone
(207) 646-0677
Fax
(207) 646-0949
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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 T0646 ME Primary

Addresses

Primary practice location

59 Mile Road
Wells, ME 04090

Mailing address

PO Box 1089
Wells, ME 04090-1089
Phone (207) 646-0677

Other identifiers 3

IdentifierTypeStateIssuer
099788OtherMEANTHEM
MM9626OtherMEMEDICARE GROUP NUMBER
1134309511OtherMEGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070918000199 ME Practitioner - Family Practice 1658465968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wells Family Practice, LLCGroup PAC ID 8527154483, 3 clinicians

Practice addresses (Care Compare)

59 Mile Rd
Wells, ME 04090-4135
Phone (207) 646-0676

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0646MEMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: christine.tremblay.1@4042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4042/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1457434573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040901089",
            "telephone_number": "207-646-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MILE ROAD",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "04090",
            "telephone_number": "207-646-0677",
            "fax_number": "207-646-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLAY",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "T0646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "099788",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "MM9626",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1134309511",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wells, ME

Sources for this page

Verify at the official NPI Registry.