Philip Abraham MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

016477 Issued in ME

Legal business name

PHILIP ABRAHAM MD LLC

Practice address

42 State Rd Unit 103
Kittery, ME 03904-1810

Phone

(207) 651-7432

Fax

(888) 519-0831

NPI assigned

Jun 1, 2008

Organization subpart

No

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

Authorized official

Name

Philip Abraham, M. D.NPI 1497750764

Title

M. D.

Phone

(207) 324-5968

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 1

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

• Philip Abraham, M.D.

  • Internal Medicine Physician
  • Kittery, ME
  • NPI 1497750764

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1710145172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 STATE RD UNIT 103",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041810",
            "telephone_number": "207-324-5968",
            "fax_number": "888-519-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 STATE RD UNIT 103",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041810",
            "telephone_number": "207-651-7432",
            "fax_number": "888-519-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP ABRAHAM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-01",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "M. D.",
        "authorized_official_telephone_number": "207-324-5968",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "016477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila J O'Neill
• Aaron Andreas Patterson, MD
• People First Rehab
• Jerricson Barlis Peralta, IDC
• Charity Perrier
• Sarah Pinkerton-Bonneau, RN CERTIFIED
• Manohar Steven Pinto, RPH
• Joshua Lee Pirini, D.C.
• Lauren A Quinn, RDH
• Haley E Ramus, DPT, ATC

• Internal Medicine Physician in Kittery, ME
• Providers in Kittery, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.