Organization Active NPI

Stephens Memorial Hospital Association

Doing business as Western Maine OB/GYN

  • Obstetrics & Gynecology Physician
  • Norway, ME
National Provider Identifier
1720379977
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
37353 Issued in ME
Legal business name
STEPHENS MEMORIAL HOSPITAL ASSOCIATION
Doing business as
Western Maine OB/GYN
Practice address
193 Main St
Suite 3
Norway, ME 04268-5645
Phone
(207) 743-7605
Fax
(207) 743-1579
NPI assigned
Apr 22, 2011
Organization subpart
Yes
Parent organization
STEPHENS MEMORIAL HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
John W Cox
Title
Sr VP Fiscal
Phone
(207) 743-5933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 37353 ME Primary

Addresses

Primary practice location

193 Main St
Suite 3
Norway, ME 04268-5645

Mailing address

181 Main St
Norway, ME 04268-5664
Phone (207) 743-5933

Other names 1

  • Western Maine OB/GYN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stephens Memorial Hospi2 organizations share this tax ID, including this one
Part of
Stephens Memorial Hospi

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1720379977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685664",
            "telephone_number": "207-743-5933",
            "fax_number": "207-743-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MAIN ST",
            "address_2": "SUITE 3",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685645",
            "telephone_number": "207-743-7605",
            "fax_number": "207-743-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHENS MEMORIAL HOSPITAL ASSOCIATION",
        "enumeration_date": "2011-04-22",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SR VP FISCAL",
        "authorized_official_telephone_number": "207-743-5933"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "37353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Maine OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norway, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.