Active NPI
Whole Medicine LLC
- Family Medicine Physician
- Scarborough, ME
National Provider Identifier
1508475724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WHOLE MEDICINE LLC
- Practice address
- 2O Mussey Road
Suite 2
Scarborough, ME 04074 - Phone
- (207) 885-1333
- NPI assigned
- Jul 23, 2020
- 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
- Claudia W Heise, MD
- Title
- Owner
- Phone
- (207) 846-8722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2O Mussey Road
Suite 2
Scarborough, ME 04074
Mailing address
2O Mussey Road
Suite 2
Scarborough, ME 04074
Phone (207) 885-1333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649616319 | Medicaid | ME |
Other names 1
- CLAUDIA WINDGRAD HEISE
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | YARMOUTH | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
20 Mussey Rd
Ste 2
Scarborough, ME 04074
Phone (207) 885-1333
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Scarborough, ME
- NPI 1649616319
-
- Family Medicine Physician
- Scarborough, ME
- NPI 1114171857
-
- Family Medicine Physician
- Scarborough, ME
- NPI 1205924347
-
- Family Medicine Physician
- West Redding, CT
- NPI 1023211216
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- West Redding, CT
- NPI 1699843888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595462400000",
"number": "1508475724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2O MUSSEY ROAD",
"address_2": "SUITE 2",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "04074",
"telephone_number": "207-885-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2O MUSSEY ROAD",
"address_2": "SUITE 2",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "04074",
"telephone_number": "207-885-1333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLE MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A",
"authorized_official_last_name": "HEISE",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-846-8722",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649616319",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "YARMOUTH",
"affiliation": "N",
"endpointDescription": "YARMOUTH",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2O MUSSEY ROAD",
"address_2": "SUITE 2",
"city": "SCARBOROUGH",
"state": "ME",
"country_code": "US",
"postal_code": "04074",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "CLAUDIA WINDGRAD HEISE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.