Kennebec Valley Obstetrics & Gynecology

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

KENNEBEC VALLEY OBSTETRICS & GYNECOLOGY

Practice address

5 Caldwell Rd
Augusta, ME 04330-5739

Phone

(207) 623-1322

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Mark S. Cooper, M.D.

Title

President

Phone

(207) 623-1322

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982682191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALDWELL RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305739",
            "telephone_number": "207-623-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALDWELL RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305739",
            "telephone_number": "207-623-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEBEC VALLEY OBSTETRICS & GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-623-1322",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3173496",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "C0101",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennebec Pharmacy and Home Care LLC
• Kennebec Pharmacy and Home Care LLC
• Kennebec Speech Therapy PLLC
• Kennebec Valley Chiropractic
• Kennebec Valley Family Dentistry
• Kennebec Valley Radiology Professional Association
• Rosemarie Kenney-Lavin, F.N.P.
• Ellen J Kenney, RPH, PHARM.D.
• Shannon Kenney, DO
• Patricia Ann Keohan, NP

• Obstetrics & Gynecology Physician in Augusta, ME
• Providers in Augusta, ME by specialty
• Obstetrics & Gynecology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.