Organization Active NPI

Timber H Gorman MD

Doing business as Downeast Eye MD

  • Medical Specialty Clinic/Center
  • Trenton, ME
National Provider Identifier
1861681322
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
014431 Issued in ME
Legal business name
TIMBER H GORMAN MD
Doing business as
Downeast Eye MD
Practice address
390 Bar Harbor Rd
Trenton, ME 04605-5807
Phone
(207) 667-9690
Fax
(207) 667-6064
NPI assigned
Oct 22, 2007
Last updated
May 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Timber H Gorman, M.D.NPI 1619933215
Title
Physician/Owner
Phone
(207) 667-9690

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
Medical Specialty Clinic/Center 261QM2500X 014431 ME Primary

Addresses

Primary practice location

390 Bar Harbor Rd
Trenton, ME 04605-5807

Mailing address

390 Bar Harbor Rd
Trenton, ME 04605-5807
Phone (207) 667-9690

Other names 1

  • Downeast Eye MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100525000665 ME Part B Supplier - Clinic/Group Practice 1254460660 Receives reassigned benefits from 2 practitioners
Practice locations: Trenton, ME

National Provider Directory

National Provider Directory

Locations

390 Bar Harbor Rd
Trenton, ME 04605
Phone (207) 667-5899

Practitioners & affiliated clinicians

Practitioners 2

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1861681322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 BAR HARBOR RD",
            "city": "TRENTON",
            "state": "ME",
            "postal_code": "046055807",
            "telephone_number": "207-667-9690",
            "fax_number": "207-667-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 BAR HARBOR RD",
            "city": "TRENTON",
            "state": "ME",
            "postal_code": "046055807",
            "telephone_number": "207-667-9690",
            "fax_number": "207-667-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER H GORMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "TIMBER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "207-667-9690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ME",
            "license": "014431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downeast Eye MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.