Active NPI
Catherine Crute, MD
- Family Medicine Physician
- Portland, ME
National Provider Identifier
1508834441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 012111
- Practice address
- 51 Sewall St
Portland, ME 04102-2643 - Phone
- (207) 772-8823
- Fax
- (207) 772-1856
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 012111 | ME | Primary |
Addresses
Primary practice location
51 Sewall St
Portland, ME 04102-2643
Mailing address
51 Sewall St
Portland, ME 04102-2643
Phone (207) 772-8823
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8892325 | Other | ME | CIGNA OFFICE ID # |
| M188110 | Other | ME | CIGNA PROVIDER ID |
| 2449295 | Other | ME | AETNA OFFICE ID # |
| 099071 | Other | ME | ANTHEM OFFICE ID # |
| B86348 | Other | ME | HARVARD PILGRIM ID # |
| 040814 | Other | ME | ANTHEM PROVIDER ID |
| 2367189 | Other | ME | AETNA PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012111 | ME | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508834441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 SEWALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022643",
"telephone_number": "207-772-8823",
"fax_number": "207-772-1856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 SEWALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022643",
"telephone_number": "207-772-8823",
"fax_number": "207-772-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUTE",
"first_name": "CATHERINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "012111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA OFFICE ID #",
"identifier": "8892325",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER ID",
"identifier": "M188110",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA OFFICE ID #",
"identifier": "2449295",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM OFFICE ID #",
"identifier": "099071",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM ID #",
"identifier": "B86348",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER ID",
"identifier": "040814",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "2367189",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.