Organization Active NPI

Seacoast Ultrasound Imaging, Inc

  • Sonography Radiologic Technologist
  • Rockport, ME
National Provider Identifier
1639155674
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
6270 Issued in ME
Legal business name
SEACOAST ULTRASOUND IMAGING, INC
Practice address
756 Commercial St
Rockport, ME 04856-4201
Phone
(207) 593-5400
NPI assigned
Dec 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Charles Dunner
Title
President
Phone
(207) 784-2554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471S1302X 6270 ME Primary

Addresses

Primary practice location

756 Commercial St
Rockport, ME 04856-4201

Mailing address

PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554

Other identifiers 1

IdentifierTypeStateIssuer
136270000MedicaidME

National Provider Directory

National Provider Directory

Locations

287 Main St
Ste 200
Lewiston, ME 04240
Phone (207) 786-3571

95 Campus Ave
Ste 2
Lewiston, ME 04240
Phone (207) 755-3340

16 Paris St
Norway, ME 04268
Phone (207) 743-2232

756 Commercial St
Rockport, ME 04856
Phone (207) 593-5400

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1639155674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 COMMERCIAL ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564201",
            "telephone_number": "207-593-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST ULTRASOUND IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "DUNNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-784-2554"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "ME",
            "license": "6270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136270000",
            "state": "ME"
        }
    ],
    "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 Mar 31, 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.

Verify at the official NPI Registry.