Organization Active NPI

Wiscasset Health Center

  • Family Medicine Physician
  • Wiscasset, ME
National Provider Identifier
1720153851
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
007890 Issued in ME
Legal business name
WISCASSET HEALTH CENTER
Practice address
136 Gardiner Rd
Wiscasset, ME 04578-0387
Phone
(207) 882-7512
Fax
(207) 882-7513
NPI assigned
Nov 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen ReedNPI 1790969285
Title
Owner
Phone
(207) 882-7512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 007890 ME Primary

Addresses

Primary practice location

136 Gardiner Rd
Wiscasset, ME 04578-0387

Mailing address

PO Box 387
136 Gardiner Rd
Wiscasset, ME 04578-0387
Phone (207) 882-7512

Other identifiers 2

IdentifierTypeStateIssuer
1042534OtherMEAETNA
5167014001OtherMECIGNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720153851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "address_2": "136 GARDINER RD",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045780387",
            "telephone_number": "207-882-7512",
            "fax_number": "207-882-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 GARDINER RD",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045780387",
            "telephone_number": "207-882-7512",
            "fax_number": "207-882-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCASSET HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-882-7512",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "007890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1042534",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5167014001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiscasset, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.