Active NPI
Jeanne E Scheddel, D.O.
- Emergency Medicine Physician
- Scarborough, ME
National Provider Identifier
1629202007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1120
- Practice address
- 55 Spring St
Scarborough, ME 04074-8926 - Phone
- (207) 885-3988
- NPI assigned
- May 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1120 | ME | Primary |
Addresses
Primary practice location
55 Spring St
Scarborough, ME 04074-8926
Mailing address
55 Spring St
Scarborough, ME 04074-8926
Phone (207) 885-3988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1120 | ME | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1629202007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SPRING ST",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040748926",
"telephone_number": "207-885-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SPRING ST",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040748926",
"telephone_number": "207-885-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEDDEL",
"first_name": "JEANNE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "1120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
- Scarborough Operations, LLC
- Scarborough Orthopedic and Sports Physical Therapy
- Scarborough Physical Therapy Associates, P.a.
- Scarborough School Dept.
- Scarborough Terrace LTD. Partners
- Arthur Robert Schliesman, DMD
- Amanda R Schlosky, PA-C
- Benjamin Schmidt, PA-C
- Meic H Schmidt, M.D.
- Julia Ashly Schnee, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.