Active NPI
Christine M Munroe, DO
- Pediatric Adolescent Medicine Physician
- South Berwick, ME
National Provider Identifier
1538369657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 2005
- Practice address
- 57 Portland St
Suite 2a
South Berwick, ME 03908-1203 - Phone
- (207) 384-9212
- Fax
- (207) 384-2008
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- 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 | 2005 | ME | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 2005 | ME | Primary |
Addresses
Primary practice location
57 Portland St
Suite 2a
South Berwick, ME 03908-1203
Mailing address
57 Portland St
Suite 2a
South Berwick, ME 03908-1203
Phone (207) 384-9212
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3022634 | Medicaid | NH | |
| 432756499 | Medicaid | ME | |
| 2005 | Other | ME | STATE LICENSE NUMBER |
| 000265601 | Other | ME | PTAN |
Other names 1
- Christine M Neufeld
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of New England, College of Osteo Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
57 Portland St
2A Great Works Family Practice Associates O
South Berwick, ME 03908-1203
Phone (207) 384-9212
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005 | ME | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Pathology Inc | Current | Accepting new patients | |
| York Hospital | Current | Accepting new patients |
Locations
57 Portland St
Ste 2A
South Berwick, ME 03908
Phone (207) 384-9212
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
Interoperability endpoints
- christine.munroe@yh.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
-
- Clinical Medical Laboratory
- Exeter, NH
- NPI 1154651230
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1538369657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 PORTLAND ST",
"address_2": "SUITE 2A",
"city": "SOUTH BERWICK",
"state": "ME",
"postal_code": "039081203",
"telephone_number": "207-384-9212",
"fax_number": "207-384-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 PORTLAND ST",
"address_2": "SUITE 2A",
"city": "SOUTH BERWICK",
"state": "ME",
"postal_code": "039081203",
"telephone_number": "207-384-9212",
"fax_number": "207-384-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNROE",
"first_name": "CHRISTINE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "2005",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "ME",
"license": "2005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3022634",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432756499",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "2005",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "000265601",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "NEUFELD",
"middle_name": "M",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Berwick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.