Mainegeneral Health Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAINEGENERAL HEALTH ASSOCIATES

Doing business as

Kennebec Family Practice

Practice address

13 Railroad SQ
Kennebec Family Practice
Waterville, ME 04901-6139

Phone

(207) 872-6869

Fax

(207) 872-7910

NPI assigned

Oct 28, 2008

Last updated

Oct 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara A Crowley, MD

Title

President, Mgha

Phone

(207) 626-1097

Specialties & licenses 1

Addresses

Other names 1

• Kennebec Family Practice Doing business as

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1942453683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 RAILROAD SQ",
            "address_2": "KENNEBEC FAMILY PRACTICE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016139",
            "telephone_number": "207-872-6869",
            "fax_number": "207-872-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 RAILROAD SQ",
            "address_2": "KENNEBEC FAMILY PRACTICE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016139",
            "telephone_number": "207-872-6869",
            "fax_number": "207-872-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEGENERAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, MGHA",
        "authorized_official_telephone_number": "207-626-1097",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennebec Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mainegeneral Health (HealthReach Network)
• Mainegeneral Health Associates (Nephrology Services)
• Mainegeneral Health Associates (Pulmonology)
• Mainegeneral Health Associates (Evergreen Family Practice)
• Mainegeneral Health Associates (DBA MGHA surgery)
• Mainegeneral Health Associates Dba Oncology Associates
• Mainegeneral Medical Center (MaineGeneral Pharmacy)
• Ruth A Malcolm, CADC
• Kiran A Mangalam, DO
• Abigail Bryson Manter, D.M.D.

• Family Medicine Physician in Waterville, ME
• Providers in Waterville, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.