Whiting Bay Family Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

013026 Issued in ME

Legal business name

WHITING BAY FAMILY MEDICINE, PA

Practice address

125 US Route 1
Whiting, ME 04691

Phone

(207) 733-2900

Fax

(207) 733-2866

NPI assigned

May 4, 2007

Last updated

Dec 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pat A. Godin

Title

Office Manager

Phone

(207) 733-2900

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/74380

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia Anne Arnold, MD

  • Family Medicine Physician
  • Whiting, ME
  • NPI 1629149133
  Medicare reassignment

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1568674232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "WHITING",
            "state": "ME",
            "postal_code": "046910108",
            "telephone_number": "207-733-2900",
            "fax_number": "207-733-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 US ROUTE 1",
            "city": "WHITING",
            "state": "ME",
            "postal_code": "04691",
            "telephone_number": "207-733-2900",
            "fax_number": "207-733-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITING BAY FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "GODIN",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-733-2900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "013026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080170735",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "025951",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "610130001",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "F14082",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "098154",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132790000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healing Hands, PLLC (Healing Hands Wellness and Rehab)
• Linsey Matthews, OTR/L
• Susan Jane Maxwell, PASTORAL COUNSELOR
• Susan Rockwell, RN
• Michael P. Siano, D.C.

• Family Medicine Physician in Whiting, ME
• Providers in Whiting, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.