Philip Courtney Ptacin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD21965 Issued in ME

Practice address

61 Barra Rd
Biddeford, ME 04005-9459

Phone

(207) 283-1441

Fax

(207) 523-1136

NPI assigned

Sep 20, 2006

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
• FHIR API: https://app.meldrx.com/api/fhir/ei-dayone
• Direct secure messaging: philip.ptacin.1@5857.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Martin's Point Health Care, Inc.

  • Family Medicine Physician
  • Portland, ME
  • NPI 1366474611
  Medicare reassignment NPD
• Dayone City Care

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1659771426
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1801993092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9746",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BARRA RD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059459",
            "telephone_number": "207-283-1441",
            "fax_number": "207-523-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PTACIN",
        "first_name": "PHILIP",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD21965",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301039477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.ptacin.1@5857.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "61 Barra Rd",
            "city": "Biddeford",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040059459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Primecare Physician Associates
• Ashley Waynette Primus, MD
• Priscille Belanger (La Corseterie)
• Igor Prokopiw, M.D.
• Providers Care PA
• Madeleine Marie Puissant, MD, PHD
• Quality Comfort Home Care Inc
• Susan M Quill, LMT
• Gina Marie Quinn-Skillings, MD
• Shelagh Ramage, LCSW

• Family Medicine Physician in Biddeford, ME
• Providers in Biddeford, 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 Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.