Mainegeneral Health Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAINEGENERAL HEALTH ASSOCIATES

Doing business as

Evergreen Family Practice

Practice address

246 Kennedy Memorial Dr
Waterville, ME 04901-4556

Phone

(207) 873-6655

Fax

(207) 877-9826

NPI assigned

Jul 2, 2007

Last updated

Oct 20, 2008By the provider in NPPES

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, MDNPI 1437123197

Title

President

Phone

(207) 626-1063

Specialties & licenses 2

Addresses

Other names 1

• Evergreen Family Practice Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara A Crowley, M.D.

  • Pediatrics Physician
  • Augusta, ME
  • NPI 1437123197
  Authorized official Same address or phone
• Linda Keniston, MD

  • Family Medicine Physician
  • Waterville, ME
  • NPI 1255531257
  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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mainegeneral Health (HealthReach Network)
• Mainegeneral Health (HealthReach Network)
• Mainegeneral Health (HealthReach Network)
• Mainegeneral Health Associates (Nephrology Services)
• Mainegeneral Health Associates (Pulmonology)
• Mainegeneral Health Associates (DBA MGHA surgery)
• Mainegeneral Health Associates (Kennebec Family Practice)
• Mainegeneral Health Associates Dba Oncology Associates
• Mainegeneral Medical Center (MaineGeneral Pharmacy)
• Ruth A Malcolm, CADC

• Family Medicine Physician in Waterville, ME
• Providers in Waterville, 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 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.