Active NPI
Wiscasset Family Medicine LLC
- Family Medicine Physician
- Wiscasset, ME
National Provider Identifier
1679784045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 008477
- Legal business name
- WISCASSET FAMILY MEDICINE LLC
- Practice address
- 66 Water St
Wiscasset, ME 04578-4133 - Phone
- (207) 882-6008
- Fax
- (207) 882-7803
- NPI assigned
- May 25, 2007
- Last updated
- Jun 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward B Kitfield, MD
- Title
- Sole MBR/Physician
- Phone
- (207) 882-6008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 008477 | ME | Primary |
Addresses
Primary practice location
66 Water St
Wiscasset, ME 04578-4133
Mailing address
PO Box 351
66 Water STR
Wiscasset, ME 04578-4133
Phone (207) 882-6008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433827000 | Medicaid | ME |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Wiscasset, ME
- NPI 1427062728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371427200000",
"number": "1679784045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 351",
"address_2": "66 WATER STR",
"city": "WISCASSET",
"state": "ME",
"postal_code": "045784133",
"telephone_number": "207-882-6008",
"fax_number": "207-882-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 WATER ST",
"city": "WISCASSET",
"state": "ME",
"postal_code": "045784133",
"telephone_number": "207-882-6008",
"fax_number": "207-882-7803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISCASSET FAMILY MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2013-06-17",
"status": "A",
"authorized_official_last_name": "KITFIELD",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "SOLE MBR/PHYSICIAN",
"authorized_official_telephone_number": "207-882-6008",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "ME",
"license": "008477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433827000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wiscasset, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.