NPIMap

Individual provider Active NPI

Lynne Werner, MD

  • Internal Medicine Physician
  • Yarmouth, ME
National Provider Identifier
1700974763
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
017970 Issued in ME
Practice address
385 Route 1
Yarmouth, ME 04096-6729
Phone
(207) 535-1200
Fax
(207) 535-1249
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 028103 GA
Internal Medicine Physician 207R00000X 017970 ME Primary

Addresses

Primary practice location

385 Route 1
Yarmouth, ME 04096-6729

Mailing address

385 Route 1
Yarmouth, ME 04096-6729
Phone (207) 535-1200

Other identifiers 2

IdentifierTypeStateIssuer
000474801BMedicaidGA
1700974763MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028103GAMDEmergency Medicine Physician
017970MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Emergency Associates Emergency Medicine Past Accepting new patients
Peachtree Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Piedmont Hospital, Inc Past Accepting new patients
Mercy Hospital Past Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1700974763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 ROUTE 1",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966729",
            "telephone_number": "207-535-1200",
            "fax_number": "207-535-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 ROUTE 1",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966729",
            "telephone_number": "207-535-1200",
            "fax_number": "207-535-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "LYNNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "028103",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "017970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000474801B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700974763",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.