Active NPI
Seacoast Medical Care, P.a.
- Internal Medicine Physician
- Biddeford, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SEACOAST MEDICAL CARE, P.A.
- Practice address
- 57 Barra Rd
Suite #1
Biddeford, ME 04005-9448 - Phone
- (207) 286-3504
- Fax
- (207) 286-3767
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Woodrow Davis Lee, D.O.
- Title
- President
- Phone
- (207) 286-3504
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
57 Barra Rd
Suite #1
Biddeford, ME 04005-9448
Mailing address
57 Barra Rd
Suite #1
Biddeford, ME 04005-9448
Phone (207) 286-3504
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2732880 | Other | ME | AETNA |
| M214470 | Other | ME | CIGNA |
| 174560000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Seacoast Medical Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Biddeford, ME
- NPI 1225191596
Locations
57 Barra Rd
Ste 1
Biddeford, ME 04005
Phone (207) 286-3504
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Biddeford, ME
- NPI 1902908411
-
- Internal Medicine Physician
- Biddeford, ME
- NPI 1275635781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219104000000",
"number": "1467527705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 BARRA RD",
"address_2": "SUITE #1",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059448",
"telephone_number": "207-286-3504",
"fax_number": "207-286-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 BARRA RD",
"address_2": "SUITE #1",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059448",
"telephone_number": "207-286-3504",
"fax_number": "207-286-3767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEACOAST MEDICAL CARE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2008-08-19",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "WOODROW",
"authorized_official_middle_name": "DAVIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-286-3504",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2732880",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M214470",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174560000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.