Freeport Cardiology, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

017412 Issued in ME

Legal business name

FREEPORT CARDIOLOGY, LLC

Practice address

100 Spencer'S Ridge Rd.
Freeport, ME 04032-7138

Phone

(207) 865-7088

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

Susan M Corbett

Title

Billing Representative

Phone

(207) 497-2996

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lowell Ian Gerber, MD

  • Cardiovascular Disease Physician
  • Freeport, ME
  • NPI 1114913456
  NPD (past)

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1679708168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BETTYS LN",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026452517",
            "telephone_number": "207-497-2996",
            "fax_number": "877-203-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPENCER'S RIDGE RD.",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327138",
            "telephone_number": "207-865-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT CARDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "207-497-2996"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "017412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1679708168",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evergreen Counseling, LLC
• Reed Anne Kelly Fahlgren, LCPC-C
• Peter Michael File, D.O.
• Susan Fitzgerald
• Justine Nicole Fraser
• Freeport Convalescent Center Inc
• Freeport Convalscent Center
• Freeport Convelsant Center
• Freeport Dental Associates, P.C.
• Freeport Integrated Health Center, P.a.

• Cardiovascular Disease Physician in Freeport, ME
• Providers in Freeport, ME by specialty
• Cardiovascular Disease Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.