Individual provider Active NPI

Rose M Fuchs, MD

  • Family Medicine Physician
  • Patten, ME
National Provider Identifier
1699770222
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD20092 Issued in ME
Practice address
17 Founders St
Patten, ME 04765
Phone
(207) 992-9102
Fax
(207) 922-9080
NPI assigned
Jun 20, 2005
Last updated
Mar 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD20092 ME Primary

Addresses

Primary practice location

17 Founders St
Patten, ME 04765

Mailing address

17 Founders St
Patten, ME 04765-3080
Phone (207) 992-9102

Other practice location 1

30 Houlton Street
Patten, ME 04765-0500
Phone (207) 528-2285

Other identifiers 1

IdentifierTypeStateIssuer
359228115MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017000500 ME Practitioner - Family Practice 6305833690 Practice locations: Patten, ME

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 Founders St
Patten, ME 04765-3080
Phone (207) 922-9102

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD20092MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rose M Fuchs Family Medicine CurrentSince Dec 10, 2018 Accepting new patients

Locations

17 Founders St
Patten, ME 04765
Phone (207) 528-2067

Interoperability endpoints

  • Direct secure messaging: rose.fuchs.1@19130.direct.athenahealth.com
  • Direct secure messaging: rose.fuchs.p51@direct.tenet.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1699770222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FOUNDERS ST",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047653080",
            "telephone_number": "207-992-9102",
            "fax_number": "207-922-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FOUNDERS ST",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "04765",
            "telephone_number": "207-992-9102",
            "fax_number": "207-922-9080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Houlton Street",
            "address_purpose": "LOCATION",
            "city": "Patten",
            "state": "ME",
            "postal_code": "047650500",
            "country_code": "US",
            "telephone_number": "207-528-2285",
            "fax_number": "207-528-2880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUCHS",
        "first_name": "ROSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD20092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359228115",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patten, ME

Sources for this page

Verify at the official NPI Registry.