Coastal Health Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

013394 Issued in ME

Legal business name

COASTAL HEALTH CENTER

Practice address

37 Commerce Park
Ellsworth, ME 04605-3383

Phone

(207) 667-2422

Fax

(207) 667-0135

NPI assigned

Feb 17, 2011

Organization subpart

No

Name

Dr. Stephen H Nightingale, MD

Title

MD

Phone

(207) 667-2422

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2015.

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1750688339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 COMMERCE PARK",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053383",
            "telephone_number": "207-667-2422",
            "fax_number": "207-667-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 COMMERCE PARK",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053383",
            "telephone_number": "207-667-2422",
            "fax_number": "207-667-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "NIGHTINGALE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "207-667-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "ME",
            "license": "013394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124610000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ellsworth, ME
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.