Active NPI
Wade Hamilton
- Pediatric Cardiology Physician
- Lewiston, ME
National Provider Identifier
1851370068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 013045
- Practice address
- 12 High St
Ste 301
Lewiston, ME 04240-7634 - Phone
- (207) 795-5730
- Fax
- (207) 795-5749
- NPI assigned
- Jan 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 013045 | ME | Primary |
Addresses
Primary practice location
12 High St
Ste 301
Lewiston, ME 04240-7634
Mailing address
12 High St
Ste 301
Lewiston, ME 04240-7634
Phone (207) 795-5730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268990099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013045 | ME | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Lewiston P.a. | Current | Accepting new patients |
Interoperability endpoints
- wadehamilton@palpa.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Lewiston, ME
- NPI 1184709495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1851370068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HIGH ST",
"address_2": "STE 301",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407634",
"telephone_number": "207-795-5730",
"fax_number": "207-795-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 HIGH ST",
"address_2": "STE 301",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407634",
"telephone_number": "207-795-5730",
"fax_number": "207-795-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "WADE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "ME",
"license": "013045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268990099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.