Falmouth Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FALMOUTH INTERNAL MEDICINE PA

Practice address

170 US Route 1
Suite G
Falmouth, ME 04105-2137

Phone

(207) 781-7778

Fax

(207) 781-7779

NPI assigned

Jan 15, 2007

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Frederick, MDNPI 1639221203

Title

Owner and Provider

Phone

(207) 781-7778

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Frederick, MD

  • Internal Medicine Physician
  • Falmouth, ME
  • NPI 1639221203
  NPD (past) Authorized official
• Daniel M Merson, D.O

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1982652129
  NPD (past)
• Rhonda Giselle Kroll, MD

  • Internal Medicine Physician
  • Pittsboro, NC
  • NPI 1508934290
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1740331008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 US ROUTE 1",
            "address_2": "SUITE G",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052137",
            "telephone_number": "207-781-7778",
            "fax_number": "207-781-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 US ROUTE 1",
            "address_2": "SUITE G",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052137",
            "telephone_number": "207-781-7778",
            "fax_number": "207-781-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALMOUTH INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "207-781-7778",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "01Z017045ME02",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402700000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fal River Health Center
• Falmouth Convalescent Center Inc (Falmouth By The Sea)
• Falmouth Dental Health
• Falmouth Dental Health PLLC
• Falmouth Dentistry
• Falmouth Operations LLC (Sedgewood Commons)
• Falmouth Operations LLC (Sedgewood Commons)
• Falmouth Orthopaedic Center
• Falmouth Orthopaedic Center
• Falmouth Osteopathy & Acupuncture

• Internal Medicine Physician in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.