Individual provider Active NPI

Terry Ann Scriven, MD

  • Family Medicine Physician
  • Cape Elizabeth, ME
National Provider Identifier
1629274543
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
013535 Issued in ME
Practice address
1226 Shore Rd
Cape Elizabeth, ME 04107-2123
Phone
(207) 699-0901
Fax
(207) 699-0902
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 013535 ME Primary

Addresses

Primary practice location

1226 Shore Rd
Cape Elizabeth, ME 04107-2123

Mailing address

PO Box 6233
18 Old Ocean House Road
Cape Elizabeth, ME 04107-0033
Phone (207) 699-0901

Other identifiers 1

IdentifierTypeStateIssuer
MM486603OtherMEPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2019 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
013535MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Past Accepting new patients
Cape Elizabeth Family Medicine, LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: terryann.scriven@3676904292356.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1629274543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6233",
            "address_2": "18 OLD OCEAN HOUSE ROAD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041070033",
            "telephone_number": "207-699-0901",
            "fax_number": "207-699-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 SHORE RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072123",
            "telephone_number": "207-699-0901",
            "fax_number": "207-699-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIVEN",
        "first_name": "TERRY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "013535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MM486603",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Elizabeth, ME

Sources for this page

Verify at the official NPI Registry.