The Pain Management Center of Midcoast Maine

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

1767 Issued in ME

Legal business name

THE PAIN MANAGEMENT CENTER OF MIDCOAST MAINE

Practice address

721 Bath Rd
Wiscasset, ME 04578

Phone

(207) 882-1113

Fax

(207) 882-1114

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

John J Kazalski, DO

Title

DO Owner

Phone

(207) 882-1113

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1568645869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040980810",
            "telephone_number": "207-854-1544",
            "fax_number": "207-854-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BATH RD",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "04578",
            "telephone_number": "207-882-1113",
            "fax_number": "207-882-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN MANAGEMENT CENTER OF MIDCOAST MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "KAZALSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DO OWNER",
        "authorized_official_telephone_number": "207-882-1113",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "ME",
            "license": "1767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262680000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1912059353",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda C Selvin, FNP
• Maryanne Seredynski, LCPC-C
• Shea Michael Shattuck-Faegre, LCPC
• Kimberly A Slade Brier, D.C.
• Cheryl Thayer
• Laurie A Thompson, RDH
• Regina D Thompson, LCSW
• Town of Wiscasset
• Kristen L Travers-Whitmore, LCSW
• Matthew D. Weaver, M.D.

• Pain Medicine Physician in Wiscasset, ME
• Providers in Wiscasset, ME by specialty
• Pain Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.