Organization Active NPI

Twin City Family Medicine PA

  • Family Medicine Physician
  • Brewer, ME
National Provider Identifier
1750472296
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TWIN CITY FAMILY MEDICINE PA
Practice address
92 South Main Street
Brewer, ME 04412-2114
Phone
(207) 989-2326
Fax
(207) 992-2754
NPI assigned
Sep 28, 2006
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Mr. Adam P Lauer, D.O.
Title
President / Owner
Phone
(207) 989-2326

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

92 South Main Street
Brewer, ME 04412-2114

Mailing address

92 South Main Street
Brewer, ME 04412-2114
Phone (207) 989-2326

Other identifiers 2

IdentifierTypeStateIssuer
249490000MedicaidME
DE3004OtherRR MEDICARE

National Provider Directory

National Provider Directory

Locations

46 Betton St
Brewer, ME 04412
Phone (207) 989-2326

92 S Main St
Brewer, ME 04412
Phone (207) 989-2326

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1750472296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 SOUTH MAIN STREET",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122114",
            "telephone_number": "207-989-2326",
            "fax_number": "207-992-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 SOUTH MAIN STREET",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122114",
            "telephone_number": "207-989-2326",
            "fax_number": "207-992-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "LAUER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "207-989-2326",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249490000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE3004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewer, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.