Individual provider Active NPI

Robert I Mosenfelder, MD

  • Obstetrics & Gynecology Physician
  • Houlton, ME
National Provider Identifier
1871688812
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD12156 Issued in ME
Practice address
22 Hartford St
Ste 4
Houlton, ME 04730-1844
Phone
(207) 532-4017
Fax
(207) 532-4019
NPI assigned
Oct 4, 2006
Last updated
Jun 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD12156 ME Primary

Addresses

Primary practice location

22 Hartford St
Ste 4
Houlton, ME 04730-1844

Mailing address

22 Hartford St
Ste 4
Houlton, ME 04730-1844
Phone (207) 532-4017

Other identifiers 1

IdentifierTypeStateIssuer
117260000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050722000047 ME Practitioner - Obstetrics/Gynecology 3678500568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Aug 1, 2008 Accepting new patients
Houlton Regional Hospital CurrentSince Aug 1, 2008 Accepting new patients
Houlton Regional Hospital Past Accepting new patients

Locations

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

22 Hartford St
Houlton, ME 04730
Phone (207) 532-3289

22 Hartford St
Ste 4
Houlton, ME 04730
Phone (207) 532-2900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1871688812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HARTFORD ST",
            "address_2": "STE 4",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301844",
            "telephone_number": "207-532-4017",
            "fax_number": "207-532-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HARTFORD ST",
            "address_2": "STE 4",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301844",
            "telephone_number": "207-532-4017",
            "fax_number": "207-532-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSENFELDER",
        "first_name": "ROBERT",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD12156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117260000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlton, ME

Sources for this page

Verify at the official NPI Registry.