Freeport Medical Center PA

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

1648 Issued in ME

Legal business name

FREEPORT MEDICAL CENTER PA

Practice address

23 Durham Rd Ste 201
Freeport, ME 04032-6796

Phone

(207) 865-3491

Fax

(207) 865-4351

NPI assigned

Oct 11, 2006

Last updated

Mar 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Keith Knighton, D.O.NPI 1700824000

Title

Physician / Owner

Phone

(207) 865-3491

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Keith Knighton, D.O.

  • Family Medicine Physician
  • Freeport, ME
  • NPI 1700824000
  Medicare reassignment NPD Authorized official
• Dawn B Trani-Fallon, A.P.N.

  • Adult Health Nurse Practitioner
  • Lewiston, ME
  • NPI 1659494250
  Medicare reassignment NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1700975794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DURHAM RD STE 201",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326796",
            "telephone_number": "207-865-3491",
            "fax_number": "207-865-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DURHAM RD STE 201",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326796",
            "telephone_number": "207-865-3491",
            "fax_number": "207-865-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "KNIGHTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "207-865-3491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ME",
            "license": "1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freeport Convalescent Center Inc (Hawthorne House)
• Freeport Convalscent Center (Hawthorne House)
• Freeport Convelsant Center (Hawthorne House)
• Freeport Dental Associates, P.C.
• Freeport Integrated Health Center, P.a.
• Freeport Nursing Home, Inc
• Freeport Physical Therapy, PA
• Freeport Place
• Ann E Fullagar
• Lowell Ian Gerber, MD

• Health Service Clinic/Center in Freeport, ME
• Providers in Freeport, ME by specialty
• Health Service Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.