NPIMap

Organization Active NPI

Mainegeneral Health Associates

Doing business as DBA MGHA surgery

  • Surgery Physician
  • Waterville, ME
National Provider Identifier
1801084256
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MAINEGENERAL HEALTH ASSOCIATES
Doing business as
DBA MGHA surgery
Practice address
325B Kennedy Memorial Dr
Waterville, ME 04901-4517
Phone
(207) 872-4451
Fax
(207) 873-1873
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Barbara A Crowley, MDNPI 1437123197
Title
President-Mainegeneral Health Assoc
Phone
(207) 626-1063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

325B Kennedy Memorial Dr
Waterville, ME 04901-4517

Mailing address

150 Dresden Ave
Gardiner, ME 04345-2615
Phone (207) 621-9337

Other names 1

  • DBA MGHA surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mainegeneral Health Associates5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1801084256",
    "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": "325B KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014517",
            "telephone_number": "207-872-4451",
            "fax_number": "207-873-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEGENERAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT-MAINEGENERAL HEALTH ASSOC",
        "authorized_official_telephone_number": "207-626-1063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA MGHA surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.