Organization Active NPI

Family Healthcare Associates PA

  • Family Medicine Physician
  • Auburn, ME
National Provider Identifier
1831186972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY HEALTHCARE ASSOCIATES PA
Practice address
190 Stetson Rd
Auburn, ME 04210-7813
Phone
(207) 783-0591
Fax
(207) 795-2043
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gertrude Timberlake
Title
Patient Accts/Billing Coordinator
Phone
(207) 783-0591

Specialties & licenses 1

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

Addresses

Primary practice location

190 Stetson Rd
Auburn, ME 04210-7813

Mailing address

190 Stetson Rd
Auburn, ME 04210-7813
Phone (207) 783-0591

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831186972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 STETSON RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042107813",
            "telephone_number": "207-783-0591",
            "fax_number": "207-795-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 STETSON RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042107813",
            "telephone_number": "207-783-0591",
            "fax_number": "207-795-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIMBERLAKE",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_title_or_position": "PATIENT ACCTS/BILLING COORDINATOR",
        "authorized_official_telephone_number": "207-783-0591"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.