Active NPI
Full Circle Family Medicine
- Family Medicine Physician
- Damariscotta, ME
National Provider Identifier
1730151697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB6295 | Other | RAILROAD MEDICARE | |
| 185020000 | Medicaid | ME |
National Provider Directory
National Provider DirectoryNPI 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.