NPIMap

Individual provider Active NPI

Suzanne Carr, MD

  • Family Medicine Physician
  • Brunswick, ME
National Provider Identifier
1679513402
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD16713 Issued in ME
Practice address
74 Baribeau Dr
Brunswick, ME 04011-3218
Phone
(207) 798-4050
Fax
(207) 798-4018
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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 MD16713 ME Primary

Addresses

Primary practice location

74 Baribeau Dr
Brunswick, ME 04011-3218

Mailing address

PO Box 9746
Portland, ME 04104-5040
Phone (207) 791-3888

Other identifiers 1

IdentifierTypeStateIssuer
431958699MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829001044 ME Practitioner - Family Practice 0840221875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

329 Maine St
Brunswick, ME 04011-3310

Hospital & facility affiliations

  • Mainehealth Chans Home Health and Hospice Home health agency, Brunswick, ME, CCN 207012
  • Amedisys Home Health Home health agency, Portland, ME, CCN 207073
  • Chans Home Health & Hospice Hospice, Brunswick, ME, CCN 201501
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martin'S Point Health Care, Inc. Family Medicine CurrentSince Jan 1, 2012 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Dec 1, 2020 Accepting new patients
Mainehealth CurrentSince Dec 1, 2020 Accepting new patients
Mainehealth Family Medicine Past Accepting new patients
Spectrum Healthcare Partners, PA PastSince Apr 15, 2017 Accepting new patients

Locations

68 Graham St
Biddeford, ME 04005
Phone (207) 283-1441

74 Baribeau Dr
Brunswick, ME 04011
Phone (207) 798-4050

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

174 S Freeport Rd
Freeport, ME 04032
Phone (207) 865-1819

510 Main St
Gorham, ME 04038
Phone (207) 216-2118

329 Maine St
Mere Point, ME 04011
Phone (207) 373-2250

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

331 Veranda St
Portland, ME 04103
Phone (207) 774-5801

Interoperability endpoints

  • Direct secure messaging: scarr364052@direct.mmc.mainehealth.org
  • FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1679513402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9746",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045040",
            "telephone_number": "207-791-3888",
            "fax_number": "207-828-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BARIBEAU DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113218",
            "telephone_number": "207-798-4050",
            "fax_number": "207-798-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "SUZANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD16713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431958699",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.