Elizabeth B. Pierce, DO, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1563 Issued in ME

Legal business name

ELIZABETH B. PIERCE, DO, PA

Practice address

10 Forest Falls Dr Stop 11
Yarmouth, ME 04096-4900

Phone

(207) 847-9200

Fax

(207) 847-9315

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth B. Pierce, DONPI 1609817055

Title

Owner

Phone

(207) 847-9200

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 1

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

• Elizabeth B. Pierce, DO

  • Family Medicine Physician
  • Yarmouth, ME
  • NPI 1609817055
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1760602452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOREST FALLS DR STOP 11",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040964900",
            "telephone_number": "207-847-9200",
            "fax_number": "207-847-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOREST FALLS DR STOP 11",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040964900",
            "telephone_number": "207-847-9200",
            "fax_number": "207-847-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH B. PIERCE, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-847-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "3054914",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MM9835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "047545",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda A Doyle, EDD CLINICAL COUNSEL
• Dr Susan J Cook PA
• Edith T. Dubord, LCSW, LADC
• Mary Edgerton, MOTR/L
• Kimberly Ann Egberts, M.S.CCC-SLP
• Ellen Smith-Erb LCSW LLC
• Christina Ernst, LMT
• Douglas Gardner Ertman, M.D.
• William John Estrella, PHARMD
• Family Psychiatry of Maine PA LLC

• Family Medicine Physician in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.