Active NPI
David F. Scullion, M.D.
- Family Medicine Physician
- Portage, ME
National Provider Identifier
1902232473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10513
- Practice address
- 480 West Rd.
Portage, ME 04768 - Phone
- (207) 435-8057
- NPI assigned
- Sep 17, 2013
- Last updated
- Sep 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 10513 | ME | |
| Family Medicine Physician | 207Q00000X | 10513 | ME | Primary |
Addresses
Primary practice location
480 West Rd.
Portage, ME 04768
Mailing address
P.O. Box 100
Portage, ME 04768
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10513 | ME | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379376000000",
"number": "1902232473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 100",
"city": "PORTAGE",
"state": "ME",
"postal_code": "04768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 WEST RD.",
"city": "PORTAGE",
"state": "ME",
"postal_code": "04768",
"telephone_number": "207-435-8057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCULLION",
"first_name": "DAVID",
"middle_name": "F.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-17",
"last_updated": "2013-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "10513",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "10513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.