Active NPI
Robert I Mosenfelder, MD
- Obstetrics & Gynecology Physician
- Houlton, ME
National Provider Identifier
1871688812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD12156
- 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, 2017
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117260000 | Medicaid | ME |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houlton Regional Hospital | Current | Accepting new patients | |
| Houlton Regional Hospital | Current | 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.
-
- Critical Access Hospital
- Houlton, ME
- NPI 1386804268
-
- Medicare Defined Swing Bed Hospital Unit
- Houlton, ME
- NPI 1013355254
-
- Critical Access Hospital
- Houlton, ME
- NPI 1508823741
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.