Organization Active NPI

Michael R Lincourt MD PA

  • Internal Medicine Physician
  • Sanford, ME
National Provider Identifier
1699922468
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
010941 Issued in ME
Legal business name
MICHAEL R LINCOURT MD PA
Practice address
866 Main St
Sanford, ME 04073-3530
Phone
(207) 324-6116
Fax
(207) 324-3968
NPI assigned
Aug 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Michael R Lincourt, MD
Title
Owner
Phone
(207) 324-6116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 010941 ME Primary

Addresses

Primary practice location

866 Main St
Sanford, ME 04073-3530

Mailing address

PO Box 149
866 Main Street
Sanford, ME 04073-0149
Phone (207) 324-6116

National Provider Directory

National Provider Directory

Locations

866 Main St
Sanford, ME 04073
Phone (207) 324-3295

866 Main St
Sanford, ME 04073
Phone (207) 324-3295

27 June St
Sanford, ME 04073
Phone (207) 324-6116

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1699922468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "address_2": "866 MAIN STREET",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040730149",
            "telephone_number": "207-324-6116",
            "fax_number": "207-324-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 MAIN ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733530",
            "telephone_number": "207-324-6116",
            "fax_number": "207-324-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R LINCOURT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "LINCOURT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-324-6116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "010941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.