Active NPI
Tracy Bansidhar Hawkins, D.O
- Internal Medicine Physician
- Oakland, ME
National Provider Identifier
1871545210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1665
- Practice address
- 25 First Park Dr
Suite a
Oakland, ME 04963-5361 - Phone
- (207) 873-4325
- Fax
- (207) 873-4344
- NPI assigned
- May 16, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1665 | ME | Primary |
| Internal Medicine Physician | 207R00000X | 20A 7525 | CA |
Addresses
Primary practice location
25 First Park Dr
Suite a
Oakland, ME 04963-5361
Mailing address
28 Barnet Ave
Waterville, ME 04901-5102
Phone (207) 873-5044
Other names 1
- Tracy Jean Bansidhar
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A 7525 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawkins & Hawkins, PA | Internal Medicine | Past | Accepting new patients |
| Enloe Primary Physicians Medical Group a Medical Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hawkins Medical Associates
- Internal Medicine Physician
- Oakland, ME
- NPI 1083656458
-
dba Chico Hospitalist Group
- Hospitalist Physician
- Chico, CA
- NPI 1205877156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871545210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 BARNET AVE",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015102",
"telephone_number": "207-873-5044",
"fax_number": "207-873-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 FIRST PARK DR",
"address_2": "SUITE A",
"city": "OAKLAND",
"state": "ME",
"postal_code": "049635361",
"telephone_number": "207-873-4325",
"fax_number": "207-873-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "TRACY",
"middle_name": "BANSIDHAR",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "1665",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A 7525",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "BANSIDHAR",
"middle_name": "JEAN",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oakland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.