Ann M Babbitt, M.D.
Individual provider Active NPI Specialist · South Portland, ME
NPI 1861551962 · NPPES record last updated Dec 30, 2008
Key facts
- NPI
- 1861551962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 207X00000X (ME)
- Practice address
- 800 Main St
South Portland, ME 04106-6049 - Phone
- (207) 828-1133
- Fax
- (207) 828-8077
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207X00000X | ME | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 207X00000X | ME | Yes |
Addresses
Primary practice location
800 Main St
South Portland, ME 04106-6049
Mailing address
800 Main St
South Portland, ME 04106-6049
Phone (207) 828-1133
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001128 | Other | ME | ANTHEM |
| 125830099 | Medicaid | ME |
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.