Newport Family Practice PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEWPORT FAMILY PRACTICE PA

Practice address

26 Main Street
Suite 2
Newport, ME 04953

Phone

(207) 368-5747

Fax

(207) 368-5483

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

John C Baker, MD

Title

Owner

Phone

(207) 368-5747

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Sebasticook Valley Health

  • Rural Health Clinic/Center
  • Newport, ME
  • NPI 1295367803

  Sold to, 2020-01-13

  CMS change of ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Garofalo, MD

  • Emergency Medicine Physician
  • Waterville, ME
  • NPI 1659426989

  Family Medicine

  NPD (past)
• Lita C Bailly, FNP

  • Family Nurse Practitioner
  • Grants, NM
  • NPI 1306856166
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760450910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX J",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "04953",
            "telephone_number": "207-368-5747",
            "fax_number": "207-368-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MAIN STREET",
            "address_2": "SUITE 2",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "04953",
            "telephone_number": "207-368-5747",
            "fax_number": "207-368-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-368-5747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin D Nadeau, DMD
• Jennifer Denise Neufeld
• Newport Behavioral Health Center
• Newport Chiropractic Health Center
• Newport Dental Associates, P.a.
• Dorothy A O'Keefe
• Gregory J. Pappas, D.M.D.
• Carolann Prescott, BSPY, MSOTR/L
• Andrew Mitchell Pulka, PHARM D
• R.S.U. #19

• All providers in Newport, ME
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.