NPIMap

Organization Active NPI

Msad #57

  • Local Education Agency (LEA)
  • Waterboro, ME
National Provider Identifier
1508072638
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MSAD #57
Practice address
86 West Rd
Waterboro, ME 04087-3209
Phone
(207) 247-3221
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Frank Sherburne
Title
Special Education Director
Phone
(207) 247-3221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

86 West Rd
Waterboro, ME 04087-3209

Mailing address

86 West Rd
Waterboro, ME 04087-3209
Phone (207) 247-3221

Other identifiers 1

IdentifierTypeStateIssuer
1038200000MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Msad 572 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

86 West Rd
Waterboro, ME 04087
Phone (207) 247-3141

Practitioners & affiliated clinicians

Practitioners 12

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508072638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WEST RD",
            "city": "WATERBORO",
            "state": "ME",
            "postal_code": "040873209",
            "telephone_number": "207-247-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 WEST RD",
            "city": "WATERBORO",
            "state": "ME",
            "postal_code": "040873209",
            "telephone_number": "207-247-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSAD #57",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERBURNE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "SPECIAL EDUCATION DIRECTOR",
        "authorized_official_telephone_number": "207-247-3221"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038200000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterboro, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.