NPIMap

Organization Active NPI

Sunbury Primary Care, P.a.

Doing business as Carmel Family Medicine

  • Family Medicine Physician
  • Carmel, ME
National Provider Identifier
1689743080
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUNBURY PRIMARY CARE, P.A.
Doing business as
Carmel Family Medicine
Practice address
RT 2 Main Rd
Carmel, ME 04419
Phone
(207) 848-7501
Fax
(207) 848-5970
NPI assigned
Nov 7, 2006
Last updated
Jan 21, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNBURY PRIMARY CARE, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
David L Savell
Title
Chief Executive Officer
Phone
(207) 942-7650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

RT 2 Main Rd
Carmel, ME 04419

Mailing address

PO Box 921
Bangor, ME 04402-0921
Phone (207) 990-0864

Other identifiers 1

IdentifierTypeStateIssuer
124740006MedicaidME

Other names 1

  • Carmel Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunbury Family Medicine11 organizations share this tax ID, including this one
Part of
Sunbury Family Medicine

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1689743080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 921",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020921",
            "telephone_number": "207-990-0864",
            "fax_number": "207-990-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 2 MAIN RD",
            "city": "CARMEL",
            "state": "ME",
            "postal_code": "04419",
            "telephone_number": "207-848-7501",
            "fax_number": "207-848-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURY PRIMARY CARE, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBURY PRIMARY CARE, P.A.",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "SAVELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-942-7650"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124740006",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmel Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.