NPIMap

Organization Active NPI

York Internal Medicine PA LLC

  • Internal Medicine Physician
  • York, ME
National Provider Identifier
1790826915
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
015606 Issued in ME
Legal business name
YORK INTERNAL MEDICINE PA LLC
Practice address
2 Hospital Dr
Suite a
York, ME 03909-1011
Phone
(207) 351-3530
Fax
(207) 351-3574
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marc Oliver Siegel, MDNPI 1306866140
Title
Manager Owner
Phone
(207) 351-3530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 015606 ME Primary

Addresses

Primary practice location

2 Hospital Dr
Suite a
York, ME 03909-1011

Mailing address

2 Hospital Dr
Suite a
York, ME 03909-1011
Phone (207) 351-3530

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790826915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL DR",
            "address_2": "SUITE A",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-3530",
            "fax_number": "207-351-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL DR",
            "address_2": "SUITE A",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-3530",
            "fax_number": "207-351-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK INTERNAL MEDICINE PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "MANAGER OWNER",
        "authorized_official_telephone_number": "207-351-3530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "015606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.