Organization Active NPI

Allan W Nyman DPM PA

  • Podiatrist
  • Waterville, ME
National Provider Identifier
1487837894
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD136 Issued in ME
Legal business name
ALLAN W NYMAN DPM PA
Practice address
316 Main St
Waterville, ME 04901-4921
Phone
(207) 873-2683
NPI assigned
Dec 7, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Allan W Nyman, DPM PANPI 1679580963
Title
Owner
Phone
(207) 873-2683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD136 ME Primary

Addresses

Primary practice location

316 Main St
Waterville, ME 04901-4921

Mailing address

316 Main St
Waterville, ME 04901-4921
Phone (207) 873-2683

Other identifiers 2

IdentifierTypeStateIssuer
601659OtherM'CARE GROUP NO.
000591OtherMEANTHEM

National Provider Directory

National Provider Directory

Locations

316 Main St
Waterville, ME 04901
Phone (207) 873-2683

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1487837894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014921",
            "telephone_number": "207-873-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014921",
            "telephone_number": "207-873-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN W NYMAN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "NYMAN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-873-2683",
        "authorized_official_credential": "DPM PA"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "POD136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M'CARE GROUP NO.",
            "identifier": "601659",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000591",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.