Mid Maine Gastroenterology

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MID MAINE GASTROENTEROLOGY

Practice address

325E Kennedy Memorial Dr
Waterville, ME 04901-4531

Phone

(207) 872-2424

Fax

(207) 872-2099

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Raye Baker

Title

Office Manager

Phone

(207) 872-2424

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Ann Martin, FNP

  • Nurse Practitioner
  • Waterville, ME
  • NPI 1518166636
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1588866966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325E KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014531",
            "telephone_number": "207-872-2424",
            "fax_number": "207-872-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325E KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014531",
            "telephone_number": "207-872-2424",
            "fax_number": "207-872-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MAINE GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-872-2424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "G0078",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Lynn Michaud, PTA
• Sally Ann Michaud, MS, OTR/L
• Stephanie Ann Michaud
• Anna Michelson, DNP, APRN, AGNP-C
• Mid Maine Chiropractic Inc
• Mid Maine Homeless Shelter
• Mid Maine Oral Surgery
• Mid-Maine Oral and Maxillofacial Surgery PA
• Mid-Maine Radiology, P.a
• Jennifer Migliore

• Gastroenterology Physician in Waterville, ME
• Providers in Waterville, ME by specialty
• Gastroenterology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.