Organization Active NPI

Fernow Medical Associates

  • Internal Medicine Physician
  • Dover Foxcroft, ME
National Provider Identifier
1841308806
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9847 Issued in ME
Legal business name
FERNOW MEDICAL ASSOCIATES
Practice address
1048 South St
Dover Foxcroft, ME 04426-1232
Phone
(207) 564-7131
Fax
(207) 564-7209
NPI assigned
Aug 29, 2006
Last updated
Aug 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Dr. Lesley Montgomery Fernow, MDNPI 1497863450
Title
Owner/Physician
Phone
(207) 564-7131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9847 ME Primary

Addresses

Primary practice location

1048 South St
Dover Foxcroft, ME 04426-1232

Mailing address

1048 South St
Dover Foxcroft, ME 04426-1232
Phone (207) 564-7131

National Provider Directory

National Provider Directory

Locations

1048 South St
Dovr Foxcroft, ME 04426
Phone (207) 564-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1841308806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 SOUTH ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261232",
            "telephone_number": "207-564-7131",
            "fax_number": "207-564-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 SOUTH ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261232",
            "telephone_number": "207-564-7131",
            "fax_number": "207-564-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNOW MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "FERNOW",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "MONTGOMERY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "207-564-7131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "9847",
            "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 Aug 15, 2007; 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.