Individual provider Active NPI

Edward J Drasby, D.O.

  • Neurology Physician
  • Scarborough, ME
National Provider Identifier
1730179490
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
1724 Issued in ME
Practice address
7 Portland Farms Rd # 2
Scarborough, ME 04074-8305
Phone
(207) 885-1400
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 1724 ME Primary

Addresses

Primary practice location

7 Portland Farms Rd # 2
Scarborough, ME 04074-8305

Mailing address

7 Portland Farms Rd # 2
Scarborough, ME 04074-8305
Phone (207) 885-1400

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1724MEMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis J Sullivan, M.D., P.a. Past Accepting new patients
Port City Neurology Neurology PastSince Aug 1, 2005 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1730179490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PORTLAND FARMS RD # 2",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748305",
            "telephone_number": "207-885-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PORTLAND FARMS RD # 2",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748305",
            "telephone_number": "207-885-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRASBY",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "1724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.