Coastal Maine Foot and Ankle PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

COASTAL MAINE FOOT AND ANKLE PA

Practice address

45 Forest Falls Dr
Yarmouth, ME 04096-6999

Phone

(207) 751-3970

NPI assigned

Mar 25, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Barry WhiteNPI 1568448272

Title

Authorized Official

Phone

(207) 888-3640

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Barry M White, DPM

  • Foot & Ankle Surgery Podiatrist
  • Yarmouth, ME
  • NPI 1568448272
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1801423330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999",
            "telephone_number": "207-751-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MAINE FOOT AND ANKLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "207-888-3640",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Footdocbmw@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "45 Forest Falls Dr",
            "city": "Yarmouth",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040966999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Foot & Ankle Surgery Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.