Active NPI
John S Carpenter
- Anesthesiology Physician
- Augusta, ME
National Provider Identifier
1679575625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2358
- Practice address
- 35 Medical Center Pkwy Ste 201
Augusta, ME 04330-8160 - Phone
- (207) 622-1959
- Fax
- (207) 430-4007
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2358 | ME | |
| Anesthesiology Physician | 207L00000X | 2358 | ME | Primary |
Addresses
Primary practice location
35 Medical Center Pkwy Ste 201
Augusta, ME 04330-8160
Mailing address
35 Medical Center Pkwy Ste 201
Augusta, ME 04330-8160
Phone (207) 622-1959
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195720199 | Medicaid | ME | |
| 0004290293 | Other | ME | AETNA |
| 1900009004 | Other | ME | PBA RAILROAD MEDICARE |
| 027707 | Other | ME | ANTHEM BLUE SHIELD |
| CIGNA | Other | ME | 1538057 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2358 | ME | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1679575625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY STE 201",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-622-1959",
"fax_number": "207-430-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY STE 201",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-622-1959",
"fax_number": "207-430-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "2358",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ME",
"license": "2358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "195720199",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004290293",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PBA RAILROAD MEDICARE",
"identifier": "1900009004",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "027707",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1538057",
"identifier": "CIGNA",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.