Individual provider Active NPI

William E Master, MD

  • Internal Medicine Physician
  • Rockport, ME
National Provider Identifier
1679563365
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
015391 Issued in ME
Practice address
4 Glen Cove Dr
Suite 5
Rockport, ME 04856-4235
Phone
(207) 921-8000
Fax
(207) 921-5277
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 015391 ME Primary

Addresses

Primary practice location

4 Glen Cove Dr
Suite 5
Rockport, ME 04856-4235

Mailing address

4 Glen Cove Dr
Suite 5
Rockport, ME 04856-4235
Phone (207) 921-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015391MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Past Accepting new patients
Mainehealth Past Accepting new patients

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1679563365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "SUITE 5",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-921-8000",
            "fax_number": "207-921-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "SUITE 5",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-921-8000",
            "fax_number": "207-921-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTER",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "015391",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 28, 2015; 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.