Active NPI
Calvin C Yates, MD
- Hospitalist Physician
- Damariscotta, ME
National Provider Identifier
1528065208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 013951
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 013951 | ME | MD | Hospitalist Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 013951 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3314000996 | Medicaid | ME |
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.