Individual provider Active NPI

Victoria S Thieme, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Topsham, ME
National Provider Identifier
1912913641
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
1460 Issued in ME
Practice address
21 Twin Pond Rd
Topsham, ME 04086
Phone
(207) 725-1823
Fax
(207) 805-9484
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1460 ME Primary

Addresses

Primary practice location

21 Twin Pond Rd
Topsham, ME 04086

Mailing address

PO Box 6071
Falmouth, ME 04105-6071

Other practice location 1

21 Twin Pond Rd
Topsham, ME 04086-5149
Phone (207) 725-1823

Other practice location 2

81 Wallentine Rd
Bowdoinham, ME 04008-4024
Phone (207) 666-3535

Other identifiers 1

IdentifierTypeStateIssuer
311260099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
University of New England, College of Osteo Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 Capitol Hill Rd
New Sweden, ME 04762-3500

60 Parkside Dr
Biddeford, ME 04005-9012

PO Box
Suite 6071
Falmouth, ME 04105

PO Box
Suite 6071
Falmouth, ME 04105-6071

PO Box
Suite 756
Gorham, ME 04038-0756

Hospital & facility affiliations

  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1460MEMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fal River Health Center Past Accepting new patients
Falmouth Osteopathy & Acupuncture Neuromusculoskeletal Medicine & Omm 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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1912913641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6071",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041056071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TWIN POND RD",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "04086",
            "telephone_number": "207-725-1823",
            "fax_number": "207-805-9484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Twin Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Topsham",
            "state": "ME",
            "postal_code": "040865149",
            "country_code": "US",
            "telephone_number": "207-725-1823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Wallentine Rd",
            "address_purpose": "LOCATION",
            "city": "Bowdoinham",
            "state": "ME",
            "postal_code": "040084024",
            "country_code": "US",
            "telephone_number": "207-666-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIEME",
        "first_name": "VICTORIA",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311260099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topsham, ME

Sources for this page

Verify at the official NPI Registry.