Organization Active NPI

Wiscasset Family Medicine LLC

  • Family Medicine Physician
  • Wiscasset, ME
National Provider Identifier
1679784045
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
008477 Issued in ME
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Edward B Kitfield, MDNPI 1427062728
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
433827000MedicaidME

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.