Organization Active NPI

Richard J Kahn M.D.

  • Internal Medicine Physician
  • Rockport, ME
National Provider Identifier
1619072485
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RICHARD J KAHN M.D.
Practice address
4 Glen Cove Dr
Suite #105
Rockport, ME 04856-4235
Phone
(207) 594-2141
Fax
(207) 594-2142
NPI assigned
Sep 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Linda M Kenniston
Title
Office Manager
Phone
(207) 594-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

4 Glen Cove Dr
Suite #105
Rockport, ME 04856-4235

Mailing address

4 Glen Cove Dr
Suite #105
Rockport, ME 04856-4235
Phone (207) 594-2141

National Provider Directory

National Provider Directory

Locations

4 Glen Cove Dr
#105
Rockport, ME 04856
Phone (207) 594-2141

4 Glen Cove Dr
Ste 105
Rockport, ME 04856
Phone (207) 594-1292

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619072485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "SUITE #105",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-594-2141",
            "fax_number": "207-594-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "SUITE #105",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-594-2141",
            "fax_number": "207-594-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J KAHN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNISTON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-594-2141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.