Mainegeneral Health Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAINEGENERAL HEALTH ASSOCIATES

Practice address

246 Kennedy Memorial Dr
Waterville, ME 04901-4556

Phone

(207) 873-6655

Fax

(207) 877-9826

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Barbara A Crowley, MD

Title

President

Phone

(207) 626-1063

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Evergreen Family Practice Doing business as

Practitioners 1

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

• Linda Keniston, MD

  • Family Medicine Physician
  • Waterville, ME
  • NPI 1255531257

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1790982809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DRESDEN AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452615",
            "telephone_number": "207-621-9337",
            "fax_number": "207-621-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014556",
            "telephone_number": "207-873-6655",
            "fax_number": "207-877-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEGENERAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-626-1063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164570013",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mainegeneral Health
• Mainegeneral Health
• Mainegeneral Health
• Mainegeneral Health Associates
• Mainegeneral Health Associates
• Mainegeneral Health Associates
• Mainegeneral Health Associates
• Mainegeneral Health Associates Dba Oncology Associates
• Mainegeneral Medical Center
• Ruth A Malcolm, CADC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.