Individual provider Active NPI

Susan Gaylord

  • Obstetrics & Gynecology Physician
  • Lewiston, ME
National Provider Identifier
1720068703
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12540 Issued in ME
Practice address
287 Main St
Ste 201
Lewiston, ME 04240-7054
Phone
(207) 795-7180
Fax
(207) 795-7179
NPI assigned
Jan 18, 2006
Last updated
Nov 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12540 ME Primary

Addresses

Primary practice location

287 Main St
Ste 201
Lewiston, ME 04240-7054

Mailing address

287 Main St
Ste 201
Lewiston, ME 04240-7054
Phone (207) 795-7180

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

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1720068703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 MAIN ST",
            "address_2": "STE 201",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407054",
            "telephone_number": "207-795-7180",
            "fax_number": "207-795-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 MAIN ST",
            "address_2": "STE 201",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407054",
            "telephone_number": "207-795-7180",
            "fax_number": "207-795-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLORD",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "12540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.