Active NPI
Kevin I Davey, M.D.
- Internal Medicine Physician
- Waldoboro, ME
National Provider Identifier
1508977323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 012741
- Practice address
- 27 Mill St
Waldoboro, ME 04572-6013 - Phone
- (207) 832-5291
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 012741 | ME | Primary |
| Pediatrics Physician | 208000000X | 012741 | ME |
Addresses
Primary practice location
27 Mill St
Waldoboro, ME 04572-6013
Mailing address
27 Mill St
Waldoboro, ME 04572-6013
Phone (207) 832-5291
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040608000839 | ME | Practitioner - Internal Medicine | 8527041946 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012741 | ME | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penobscot Bay Physicians & Associates | Current | Accepting new patients |
Locations
6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000
3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400
27 Mill St
Waldoboro, ME 04572
Phone (207) 832-2300
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361577600000",
"number": "1508977323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MILL ST",
"city": "WALDOBORO",
"state": "ME",
"postal_code": "045726013",
"telephone_number": "207-832-5291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 MILL ST",
"city": "WALDOBORO",
"state": "ME",
"postal_code": "045726013",
"telephone_number": "207-832-5291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVEY",
"first_name": "KEVIN",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2013-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "012741",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "012741",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldoboro, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.