Organization Active NPI

Livermore Falls Addiction Medicine LLC

  • Family Medicine Physician
  • Livermore Falls, ME
National Provider Identifier
1821560764
Registry record updated Mar 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIVERMORE FALLS ADDICTION MEDICINE LLC
Practice address
32 Main St
Livermore Falls, ME 04254-1244
Phone
(207) 376-9009
Fax
(207) 835-4884
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2023

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

Authorized official

Name
Dr. Dorothy Marie Thayer, MD
Title
Physician Co-Owner
Phone
(207) 376-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

32 Main St
Livermore Falls, ME 04254-1244

Mailing address

PO Box 371
Livermore Falls, ME 04254-0371
Phone (207) 376-9009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678579200000",
    "number": "1821560764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042540371",
            "telephone_number": "207-376-9009",
            "fax_number": "207-835-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MAIN ST",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042541244",
            "telephone_number": "207-376-9009",
            "fax_number": "207-835-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERMORE FALLS ADDICTION MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN CO-OWNER",
        "authorized_official_telephone_number": "207-376-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore Falls, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2023; 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.