Hospital Administrative District 4

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOSPITAL ADMINISTRATIVE DISTRICT 4

Doing business as

Mayo Regional Hospital

Practice address

3 Park Street
Guilford, ME 04443

Phone

(207) 876-3547

Fax

(207) 876-3328

NPI assigned

Apr 6, 2007

Last updated

Apr 25, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

HOSPITAL ADMINISTRATIVE DISTRICT 4As reported in NPPES

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

Authorized official

Name

Marie Vienneau

Title

President and Ceo

Phone

(207) 564-4251

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Mayo Regional Hospital Doing business as
• Guilford Medical Associates Other name

Part of

Mayo Regional Hospital

Locations

Practitioners 3

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.

• Scott David Griffin, D.P.T.

  • Physical Therapist
  • Corinth, ME
  • NPI 1316198526
  NPD
• Lisa Michelle Stout, DO

  • Family Medicine Physician
  • Waldoboro, ME
  • NPI 1346549979
  NPD
• Cynthia Louise Levick, FNP

  • Family Nurse Practitioner
  • Dexter, ME
  • NPI 1851584437
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1508988627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261029",
            "telephone_number": "207-876-3547",
            "fax_number": "207-876-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARK STREET",
            "city": "GUILFORD",
            "state": "ME",
            "postal_code": "04443",
            "telephone_number": "207-876-3547",
            "fax_number": "207-876-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL ADMINISTRATIVE DISTRICT 4",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL ADMINISTRATIVE DISTRICT 4",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "VIENNEAU",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "207-564-4251"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C22673",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC3866",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayo Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guilford Medical Associates",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Guilford Medical Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathleen Cardin, L.M.
• Susan C. Chessa, FNP-C
• Melissa Douglass
• Jaime Lyn Gilbert, PTA
• Aimee Gomes
• Mainely Benefits LLC
• Briana Martell, NP
• Msad #4
• Norman Maryea
• Benjamin C Okafor, BPHARM

• Family Medicine Physician in Guilford, ME
• Providers in Guilford, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.