Individual provider Active NPI

William St. Marie, DO

  • Family Medicine Physician
  • Lewiston, ME
National Provider Identifier
1669268439
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TP25087 Issued in ME
Practice address
76 High St
Lewiston, ME 04240-7649
Phone
(207) 795-2800
NPI assigned
Apr 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 TP25087 ME Primary

Addresses

Primary practice location

76 High St
Lewiston, ME 04240-7649

Mailing address

76 High St
Lewiston, ME 04240-7649
Phone (207) 795-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250806002419 ME Practitioner - Family Practice 8527576875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

420 Franklin St
Rumford, ME 04276-2104

430 Franklin St
Rumford, ME 04276-2104
Phone (207) 369-1224

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP25087MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince May 26, 2025 Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Dec 6, 2025 Accepting new patients
Central Maine Medical Center CurrentSince May 26, 2025 Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Dec 6, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Apr 20, 2025 Accepting new patients
Rumford Hospital Past Accepting new patients
Central Maine Medical Center PastSince Apr 20, 2025 Accepting new patients

Locations

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

76 High St
Lewiston, ME 04240
Phone (207) 795-2800

430 Franklin St
Rumford, ME 04276
Phone (207) 369-0146

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1669268439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-795-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-795-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. MARIE",
        "first_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "TP25087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.