Individual provider Active NPI

Michael Joseph Nolan, M.D.

  • Ophthalmology Physician
  • Fairfield, ME
National Provider Identifier
1730455262
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD21166 Issued in ME
Practice address
4 Sheridan Rd
Fairfield, ME 04937-3314
Phone
(207) 872-9564
Fax
(207) 861-5458
NPI assigned
Mar 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 120.059576 IL
Ophthalmology Physician 207W00000X MD21166 ME Primary

Addresses

Primary practice location

4 Sheridan Rd
Fairfield, ME 04937-3314

Mailing address

4 Sheridan Rd
Fairfield, ME 04937-3314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161007001382 ME Practitioner - Ophthalmology 9931412210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

25 1St Park Dr
Oakland, ME 04963-5369
Phone (207) 872-9564

Hospital & facility affiliations

  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
120.059576ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center Ophthalmology CurrentSince Aug 15, 2016 Accepting new patients
Mainegeneral Medical Center CurrentSince Aug 15, 2016 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 21, 2016 Accepting new patients

Locations

4 Sheridan Rd
Fairfield, ME 04937
Phone (207) 453-3000

150 Dresden Ave
Gardiner, ME 04345
Phone (207) 621-9337

25 First Park Dr
Oakland, ME 04963
Phone (207) 465-2181

149 North St
Waterville, ME 04901
Phone (207) 622-1959

10 Water St
Ste 202
Waterville, ME 04901
Phone (207) 873-9846

Organizations & group practices 4

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1730455262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHERIDAN RD",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049373314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHERIDAN RD",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049373314",
            "telephone_number": "207-872-9564",
            "fax_number": "207-861-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "120.059576",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "MD21166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, ME

Sources for this page

Verify at the official NPI Registry.