Peter Clifford Vickerman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD18849 Issued in ME

Practice address

15 Anchor Dr Ste 103
Rockport, ME 04856-3847

Phone

(207) 301-5600

Fax

(207) 301-5360

NPI assigned

Dec 27, 2006

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

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

• Direct secure messaging: pvickerman10785@direct.mmc.mainehealth.org

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

• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Mainehealth

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1841397932
  Medicare reassignment NPD
• Mainehealth

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Pediatrics Physician
  • Falmouth, ME
  • NPI 1629382601
  NPD
• Mainehealth

  • Clinic/Center
  • Portland, ME
  • NPI 1487346722

  Pediatrics

  NPD (past)
• Mainehealth

  • General Acute Care Hospital
  • Rockport, ME
  • NPI 1982645305
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1831254937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ANCHOR DR STE 103",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563847",
            "telephone_number": "207-301-5600",
            "fax_number": "207-301-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ANCHOR DR STE 103",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563847",
            "telephone_number": "207-301-5600",
            "fax_number": "207-301-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Fahy St",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "049156028",
            "country_code": "US",
            "telephone_number": "207-505-3600",
            "fax_number": "207-553-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICKERMAN",
        "first_name": "PETER",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD13908",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD18849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Turner, P.A.
• Two Bees Speech Language Pathology, LLC
• Janet Ann Urquhart, PTA
• Sara L Valente, M.D.
• Stephanie Vella, RDH
• Martyn A Vickers Jr., M.D.
• Rodney J Voisine, MD
• Elizabeth Vonfelten, M.D.
• Abebech Jobir Waktola, MD
• Elisabeth Walker Frederick, CNM

• Pediatrics Physician in Rockport, ME
• Providers in Rockport, ME by specialty
• Pediatrics Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.