Paul Gabriel Gosselin, DO

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

1631 Issued in ME

Practice address

147 Riverside Drive
Suite 1
Augusta, ME 04330

Phone

(207) 623-6355

Fax

(207) 622-0853

NPI assigned

Jun 22, 2006

Last updated

Aug 26, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Discovery House of Central Maine, Inc.

  dba Waterville Comprehensive Treatment Center

  • Methadone Clinic
  • Waterville, ME
  • NPI 1851390629
  NPD (past)
• Integrated Medical Associates, LLC

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1639109366
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1649216086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 RIVERSIDE DRIVE",
            "address_2": "SUITE 1",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "04330",
            "telephone_number": "207-623-6355",
            "fax_number": "207-622-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 RIVERSIDE DRIVE",
            "address_2": "SUITE 1",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "04330",
            "telephone_number": "207-623-6355",
            "fax_number": "207-622-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSELIN",
        "first_name": "PAUL",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "1631",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "ME",
            "license": "1631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "030622895",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175350000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Ruth Goodwin, NP
• Ashley Gooldrup
• Molly Eesa Dutil Gordon, PHARMD
• Jenna Goss, OD
• Jessica P Gosselin, PHARMD
• Peyton Elizabeth Gosselin, OTD
• Rachel Helena Gosselin, LMT
• Anil K Goswami, M.D.
• Shilpa Narasimhan Gowda, M.D.
• Lindsay Grady, PTA

• Addiction Medicine (Internal Medicine) Physician in Augusta, ME
• Providers in Augusta, ME by specialty
• Addiction Medicine (Internal Medicine) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.