Active NPI
Ruth Ellen O'Mahony, M.D.
- Surgery Physician
- Dover Foxcroft, ME
National Provider Identifier
1508896358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 018008
- Practice address
- 897 W Main St
Suite 700
Dover Foxcroft, ME 04426-1029 - Phone
- (207) 564-4466
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME93215 | FL | |
| Surgery Physician | 208600000X | 13223 | NH | |
| Surgery Physician | 208600000X | 018008 | ME | Primary |
Addresses
Primary practice location
897 W Main St
Suite 700
Dover Foxcroft, ME 04426-1029
Mailing address
897 W Main St
Suite 700
Dover Foxcroft, ME 04426-1029
Phone (207) 564-4466
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00654554 | Other | ME | RAILROAD MEDICARE |
| 000587801 | Other | ME | MEDICARE PTAN |
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 |
|---|---|---|---|
| ME93215 | FL | MD | Surgery Physician |
| 018008 | ME | MD | Surgery Physician |
| 13223 | NH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Medical Partners Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Amherst, NH
- NPI 1679921472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1508896358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "897 W MAIN ST",
"address_2": "SUITE 700",
"city": "DOVER FOXCROFT",
"state": "ME",
"postal_code": "044261029",
"telephone_number": "207-564-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "897 W MAIN ST",
"address_2": "SUITE 700",
"city": "DOVER FOXCROFT",
"state": "ME",
"postal_code": "044261029",
"telephone_number": "207-564-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MAHONY",
"first_name": "RUTH",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME93215",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NH",
"license": "13223",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "018008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00654554",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "000587801",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover Foxcroft, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.