Individual provider Active NPI

Calvin C Yates, MD

  • Hospitalist Physician
  • Damariscotta, ME
National Provider Identifier
1528065208
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
013951 Issued in ME
Practice address
5 Miles Center Way
Unit 1
Damariscotta, ME 04543-4067
Phone
(207) 563-4250
Fax
(207) 563-4246
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
013951MEMDHospitalist Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 013951 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

5 Miles Center Way
Unit 1
Damariscotta, ME 04543-4067

Mailing address

5 Miles Center Way
Unit 1
Damariscotta, ME 04543-4067
Phone (207) 563-4250

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3314000996MedicaidME

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2008.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1528065208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MILES CENTER WAY",
            "address_2": "UNIT 1",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4250",
            "fax_number": "207-563-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MILES CENTER WAY",
            "address_2": "UNIT 1",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4250",
            "fax_number": "207-563-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "CALVIN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "013951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3314000996",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.