Active NPI
Benjamin Walter Huerth, MD
- Family Medicine Physician
- Indian Island, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 018547
- Practice address
- 23 Wabanaki Way
Indian Island, ME 04468-1252 - Phone
- (207) 817-7400
- Fax
- (207) 817-7453
- NPI assigned
- Jun 21, 2007
- 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 | 018547 | ME | Primary |
Addresses
Primary practice location
23 Wabanaki Way
Indian Island, ME 04468-1252
Mailing address
23 Wabanaki Way
Indian Island, ME 04468-1252
Phone (207) 817-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Vermont College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23 Wabanaki Way
Indian Island, ME 04468-1252
Phone (207) 817-7400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Micmac Health Department | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Penobscot Indian Nation Finance Office | Current | Accepting new patients | |
| Norumbega Medical Specialists, LTD | Past | Accepting new patients |
Locations
489 State St
Bangor, ME 04401
Phone (207) 973-8837
23 Wabanaki Way
Indian Island, ME 04468
Phone (207) 817-7400
8 Northern Rd
Presque Isle, ME 04769
Phone (207) 764-1792
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Indian Island, ME
- NPI 1639139140
TX
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- Primary Care Clinic/Center
- Presque Isle, ME
- NPI 1831312313
-
- Health Service Clinic/Center
- Brewer, ME
- NPI 1780821140
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bangor, ME
- NPI 1982638771
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1467658112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 WABANAKI WAY",
"city": "INDIAN ISLAND",
"state": "ME",
"postal_code": "044681252",
"telephone_number": "207-817-7400",
"fax_number": "207-817-7459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 WABANAKI WAY",
"city": "INDIAN ISLAND",
"state": "ME",
"postal_code": "044681252",
"telephone_number": "207-817-7400",
"fax_number": "207-817-7453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUERTH",
"first_name": "BENJAMIN",
"middle_name": "WALTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "018547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian Island, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.