Active NPI
Allan W Nyman DPM PA
- Podiatrist
- Waterville, ME
National Provider Identifier
1487837894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD136
- 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, 2007
- 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
- Allan W Nyman, DPM PA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601659 | Other | M'CARE GROUP NO. | |
| 000591 | Other | ME | ANTHEM |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Waterville, ME
- NPI 1679580963
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.