Active NPI
Gloria J Hargreaves, CST/CFA
- Surgical Assistant
- Farmington, ME
National Provider Identifier
1720315716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 116715
- Practice address
- 111 Franklin Health CMNS
Farmington, ME 04938-6144 - Phone
- (207) 778-9001
- Fax
- (207) 779-2913
- NPI assigned
- Nov 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 116715 | ME | Primary |
Addresses
Primary practice location
111 Franklin Health CMNS
Farmington, ME 04938-6144
Mailing address
111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 778-9001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116715 | Other | ME | CERTIFIED SURGICAL TECHNOLOGIST/CERTIFIED FIRST ASSIST |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116715 | ME | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1720315716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FRANKLIN HEALTH CMNS",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049386144",
"telephone_number": "207-778-9001",
"fax_number": "207-779-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 FRANKLIN HEALTH CMNS",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049386144",
"telephone_number": "207-778-9001",
"fax_number": "207-779-2913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGREAVES",
"first_name": "GLORIA",
"middle_name": "J",
"credential": "CST/CFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-11",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "ME",
"license": "116715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED SURGICAL TECHNOLOGIST/CERTIFIED FIRST ASSIST",
"identifier": "116715",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.