Organization Active NPI

Full Circle Family Medicine

  • Family Medicine Physician
  • Damariscotta, ME
National Provider Identifier
1730151697
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FULL CIRCLE FAMILY MEDICINE
Practice address
68 Chapman St
Damariscotta, ME 04543-4614
Phone
(207) 563-6623
Fax
(207) 563-6625
NPI assigned
Feb 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Dr. Minda J Gold, MD
Title
Partner/Owner
Phone
(207) 563-6623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME Primary

Addresses

Primary practice location

68 Chapman St
Damariscotta, ME 04543-4614

Mailing address

68 Chapman St
Damariscotta, ME 04543-4614
Phone (207) 563-6623

Other identifiers 2

IdentifierTypeStateIssuer
DB6295OtherRAILROAD MEDICARE
185020000MedicaidME

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1730151697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CHAPMAN ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434614",
            "telephone_number": "207-563-6623",
            "fax_number": "207-563-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CHAPMAN ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434614",
            "telephone_number": "207-563-6623",
            "fax_number": "207-563-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "MINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "207-563-6623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB6295",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185020000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.