Individual provider Active NPI

Elizabeth B Hart, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Lewiston, ME
National Provider Identifier
1497721930
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
013508 Issued in ME
Practice address
15 Strawberry Ave
Androscoggin Home Care & Hospice
Lewiston, ME 04240-5941
Phone
(207) 777-7740
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 013508 ME
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 013508 ME Primary

Addresses

Primary practice location

15 Strawberry Ave
Androscoggin Home Care & Hospice
Lewiston, ME 04240-5941

Mailing address

15 Strawberry Ave
Lewiston, ME 04240-5941
Phone (207) 777-7740

Other identifiers 1

IdentifierTypeStateIssuer
311490099MedicaidME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000115 ME Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 7012996713 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013508MEMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Home Health Services, Inc Geriatric Medicine CurrentSince Feb 6, 2017 Accepting new patients
Androscoggin Home Health Services, Inc. CurrentSince Feb 6, 2017 Accepting new patients
Mainegeneral Medical Center Past Accepting new patients

Locations

236 Stetson Rd
Auburn, ME 04210
Phone (207) 333-6300

175 Portland Rd
Ste 4
Bridgton, ME 04009
Phone 2077777740 ext. 5225

15 Strawberry Ave
Lewiston, ME 04240
Phone (207) 520-9329

39 Main St
Ste 3
Norway, ME 04268
Phone 2077777740 ext. 6202

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Andwell Health PartnersLewiston, ME, CCN 201513 Hospice W-2 Managing Employee Feb 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1497721930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STRAWBERRY AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405941",
            "telephone_number": "207-777-7740",
            "fax_number": "207-795-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STRAWBERRY AVE",
            "address_2": "ANDROSCOGGIN HOME CARE & HOSPICE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405941",
            "telephone_number": "207-777-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "ELIZABETH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "013508",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "ME",
            "license": "013508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311490099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.