York Hospital Dba Coastal OB-GYN, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

YORK HOSPITAL DBA COASTAL OB-GYN, LLC

Practice address

112 Sanford Road
Suite 2a
Wells, ME 04090

Phone

(207) 641-8044

Fax

(207) 641-8169

NPI assigned

Oct 3, 2006

Organization subpart

Yes

Parent organization

YORK HOSPITALAs reported in NPPES

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

Authorized official

Name

Ms. Robin Labonte

Title

Chief Financial Officer

Phone

(207) 351-2391

Specialties & licenses 1

Addresses

Other identifiers 6

Part of

York Hospital Skilled Nursing Facility

Locations

Practitioners 2

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

• Jane G. Adams, APRN-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Wells, ME
  • NPI 1154430023
  NPD (past)
• Stephen Alan Wagoner, MD

  • Obstetrics & Gynecology Physician
  • Bellingham, WA
  • NPI 1861587305
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1699860270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "04098",
            "telephone_number": "207-854-1544",
            "fax_number": "207-854-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SANFORD ROAD",
            "address_2": "SUITE 2A",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "04090",
            "telephone_number": "207-641-8044",
            "fax_number": "207-641-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK HOSPITAL DBA COASTAL OB-GYN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YORK HOSPITAL",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "LABONTE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "207-351-2391",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432208399",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JENNIFER EATON DO IND NPI",
            "identifier": "1649364233",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARK C TORRES DO IND NPI",
            "identifier": "1124026208",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEPHEN WAGONER MD IND NP",
            "identifier": "1861587305",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JANE ADAMS APRN IND NPI",
            "identifier": "1154430023",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1699860270",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katee Mary Wilson, COTA, LMT
• Ycpd, PLLC (York County Pediatric Dentistry)
• York County Wound Healing & Hyperbaric Medicine Center
• York Hospital (York Hospital Wells Pharmacy)
• York Hospital

• Obstetrics & Gynecology Physician in Wells, ME
• Providers in Wells, ME by specialty
• Obstetrics & Gynecology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.