Edmund D. Ervin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

010650 Issued in ME

Practice address

25 First Park Drive
Ste a
Oakland, ME 04963

Phone

(207) 873-6183

Fax

(207) 873-4344

NPI assigned

Jan 2, 2007

Last updated

Feb 27, 2014By 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 1

Addresses

Other identifiers 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

Merit-based Incentive Payment System (MIPS)

Final score

86.22 of 100Reported as group

Quality

75.39

Promoting interoperability

84

Improvement activities

40

Cost

75.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment NPD
• Macklin & Ervin Mdpa

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1598945321
  Authorized official Same address or phone
• Central Maine Clinical Associates

  dba Turner Physical Therapy Services

  • Physical Therapy Clinic/Center
  • Turner, ME
  • NPI 1801254669
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1831256478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016117",
            "telephone_number": "207-877-3470",
            "fax_number": "207-877-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FIRST PARK DRIVE",
            "address_2": "STE A",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "04963",
            "telephone_number": "207-873-6183",
            "fax_number": "207-873-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "EDMUND",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "010650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107850099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca West Dick, OTA/L
• Dome Health, LLC
• Dr Brian J Gillis and Associates
• Grey Edberg, PT
• Emily Hope Edgerly, M.A.
• Joseph Woodcock Ervin
• Erma M Evans, CNM
• Gabrielle R Martineau de Farias
• Teresa Jean Farrington, D.O.
• Nancy Cann Filliter, MD

• Internal Medicine Physician in Oakland, ME
• Providers in Oakland, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.