Organization Active NPI

Sebasticook Family Doctors

  • Family Medicine Physician
  • Dover Foxcroft, ME
National Provider Identifier
1831426022
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SEBASTICOOK FAMILY DOCTORS
Practice address
1008 W Main St
Dover Foxcroft, ME 04426-3745
Phone
(207) 564-8710
Fax
(207) 564-8715
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Mrs. Robin Winslow
Title
Chief Operating Officer
Phone
(207) 368-4213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1008 W Main St
Dover Foxcroft, ME 04426-3745

Mailing address

118 Moosehead TRL
Suite 5
Newport, ME 04953-4055
Phone (207) 368-4213

National Provider Directory

National Provider Directory

Locations

118 Moosehead Trl
Ste 5
Newport, ME 04953
Phone (207) 368-4213

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1831426022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MOOSEHEAD TRL",
            "address_2": "SUITE 5",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534055",
            "telephone_number": "207-368-4213",
            "fax_number": "207-355-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263745",
            "telephone_number": "207-564-8710",
            "fax_number": "207-564-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTICOOK FAMILY DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "WINSLOW",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "207-368-4213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.