NPIMap

Organization Active NPI

Kennebec Gastrointestinal Assoc.

  • Gastroenterology Physician
  • Augusta, ME
National Provider Identifier
1942214234
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
KENNEBEC GASTROINTESTINAL ASSOC.
Practice address
6 E Chestnut St
Suite C-3
Augusta, ME 04330-5717
Phone
(207) 621-1150
Fax
(207) 626-1045
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Brian B Baggott, MDNPI 1407813306
Title
Owner/Partner
Phone
(207) 621-1150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

6 E Chestnut St
Suite C-3
Augusta, ME 04330-5717

Mailing address

6 E Chestnut St
Suite C-3
Augusta, ME 04330-5717
Phone (207) 621-1150

Other identifiers 1

IdentifierTypeStateIssuer
12943000MedicaidME

National Provider Directory

National Provider Directory

Locations

6 E Chestnut St
Ste C3
Augusta, ME 04330
Phone (207) 621-1150

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1942214234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E CHESTNUT ST",
            "address_2": "SUITE C-3",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305717",
            "telephone_number": "207-621-1150",
            "fax_number": "207-626-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E CHESTNUT ST",
            "address_2": "SUITE C-3",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305717",
            "telephone_number": "207-621-1150",
            "fax_number": "207-626-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEBEC GASTROINTESTINAL ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "BAGGOTT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "207-621-1150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12943000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.