Individual provider Active NPI

Laura P Caron, MD

  • Family Medicine Physician
  • Manchester, ME
National Provider Identifier
1528034303
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
016498 Issued in ME
Practice address
23 Bowdoin St
Manchester, ME 04351-3554
Phone
(207) 629-5522
Fax
(207) 512-8793
NPI assigned
Feb 23, 2006
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 016498 ME Primary

Addresses

Primary practice location

23 Bowdoin St
Manchester, ME 04351-3554

Mailing address

219 Capitol St
Ste 5
Augusta, ME 04330-6237
Phone (207) 629-5522

Other identifiers 1

IdentifierTypeStateIssuer
410000099MedicaidME

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728001235 ME Practitioner - Family Practice 1153391073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Family Focused Healthcare PLLCGroup PAC ID 1355669839, 3 clinicians

Practice addresses (Care Compare)

219 Capitol St
Suite 5
Augusta, ME 04330-6237
Phone (207) 213-6713

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016498MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center Family Medicine CurrentSince Jan 17, 2010 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 1, 2004 Accepting new patients
Family Focused Healthcare PLLC Family Medicine CurrentSince Jan 12, 2015 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 1, 2004 Accepting new patients

Locations

219 Capitol St
Ste 5
Augusta, ME 04330
Phone (207) 213-6713

442 Civic Center Dr
Augusta, ME 04330
Phone (207) 622-6319

77 Sewall St
Augusta, ME 04330
Phone (207) 622-5902

150 Dresden Ave
Gardiner, ME 04345
Phone (207) 621-9337

152 Dresden Ave
Gardiner, ME 04345
Phone (207) 582-6608

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28222/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.caron.1@28222.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1528034303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CAPITOL ST",
            "address_2": "STE 5",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306237",
            "telephone_number": "207-629-5522",
            "fax_number": "207-512-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BOWDOIN ST",
            "city": "MANCHESTER",
            "state": "ME",
            "postal_code": "043513554",
            "telephone_number": "207-629-5522",
            "fax_number": "207-512-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "LAURA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "016498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410000099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, ME

Sources for this page

Verify at the official NPI Registry.