Joseph Michael Anderson, DO
Individual provider Active NPI Pediatrics Physician · Lewiston, ME
NPI 1962853697 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1962853697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- DO2884 (ME)
- Practice address
- 300 Main St
Lewiston, ME 04240-7027 - Phone
- (207) 795-5665
- NPI assigned
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200213001372 | ME | Practitioner - Pediatric Medicine | 3476989377 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2884 | ME | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current |
Accepting new patients | |
| Central Maine Medical Center | Current |
Accepting new patients | |
| Bridgton Hospital | Current |
Accepting new patients | |
| Bridgton Hospital | Current |
Accepting new patients | |
| Rumford Hospital | Current |
Accepting new patients | |
| Rumford Hospital | Current |
Accepting new patients |
Locations
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DO2884 | ME | Yes |
Addresses
Primary practice location
300 Main St
Lewiston, ME 04240-7027
Mailing address
300 Main St
Lewiston, ME 04240-7041
Other providers in Lewiston, ME
- American Homepatient, Inc.
- American Physicians, Inc
- Evelina G Amparo
- An Angel'S Wing Inc.
- Anchorpoint Mental Health LLC
- Lindsey Beth Anderson
- Nicole Anderson
- Anthony Paul Andrews
- Michelle Andrews
- Emanuelle Andrianopoulos
All providers in Lewiston, ME · Pediatrics Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.