William McFadden Peternel, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2239 Issued in ME

Practice address

300 Main St
Lewiston, ME 04240-7027

Phone

(207) 795-0111

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Seacoast Business & Health Clinic Inc

  • Urgent Care Clinic/Center
  • Somersworth, NH
  • NPI 1952461626
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1720192586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 TROTTING TRACK RD",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944828",
            "telephone_number": "603-387-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERNEL",
        "first_name": "WILLIAM",
        "middle_name": "MCFADDEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "2239",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "9404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN:",
            "identifier": "RE 363402",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Perez, LMSW-CC
• Arabella Perez, LCSW
• Robert Bruce Perna, PHD
• Daniel McPherson Perry, PHYSICAL THERAPIST A
• Peter Siviski, MD
• Zoe Petit, LMSW-CC
• Phuong-Mai Pham
• Logan Andrew Phelps, PA
• Anne Phillips, CRNA
• Paige Picard, DO

• Family Medicine Physician in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.