Central Maine Osteopathic Manual Medicine, LLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

1479 Issued in ME

Legal business name

CENTRAL MAINE OSTEOPATHIC MANUAL MEDICINE, LLC

Practice address

2 Great Falls PLZ
Auburn, ME 04210-5966

Phone

(207) 783-7222

Fax

(207) 784-4976

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Raymond H Stone, DONPI 1427082916

Title

President

Phone

(207) 783-7222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 2

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

• Raymond H Stone, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Auburn, ME
  • NPI 1427082916
  Medicare reassignment Authorized official
• Jessica Lynn Poulin, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Augusta, ME
  • NPI 1720513476
  Medicare reassignment NPD

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1629075940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREAT FALLS PLZ",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105966",
            "telephone_number": "207-783-7222",
            "fax_number": "207-784-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREAT FALLS PLZ",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105966",
            "telephone_number": "207-783-7222",
            "fax_number": "207-784-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MAINE OSTEOPATHIC MANUAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-783-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Maine Oral & Maxillofacial Surgery Associates, PA
• Central Maine Orthopaedics
• Central Maine Orthopaedics Ambulatory Surgery Center
• Central Maine Orthopaedics Ambulatory Surgery Center, LLC
• Central Maine Orthopaedics, P.a.
• Central Maine Pulmonary Associates
• Central Maine Residential Care LLC
• Karen Marie Chace, RPH
• Melinda L Chadbourne, LCPC, LMFT
• Madisyn Charest

• Neuromusculoskeletal Medicine & OMM Physician in Auburn, ME
• Providers in Auburn, ME by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.