Kevin Mabie, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

52216 Issued in MA

Practice address

1 Hospital Road
Martha's Vineyard Hospital
Oak Bluffs, MA 02557-1477

Phone

(508) 696-1052

Fax

(508) 790-6852

NPI assigned

Jun 2, 2006

Last updated

Oct 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1992743116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PINE LANE",
            "city": "WEST TISBURY",
            "state": "MA",
            "postal_code": "02575",
            "telephone_number": "508-641-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "address_2": "MARTHA'S VINEYARD HOSPITAL",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571477",
            "telephone_number": "508-696-1052",
            "fax_number": "508-790-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABIE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "52216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110064528A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "S400305077",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Wesley London, M.D.
• Jean Curtis Loud, ED.D.
• Emanna Louis, M.A.
• Lindsay Anne Lynn, MD
• Angelica Lyon
• Dianne Lynn Mackellar, LMHC LMFT CADAC
• Terrie Janice Maclaren, R.D.
• Martha's Vineyard Community Services, Inc.
• Martha's Vineyard Hospital
• Martha's Vineyard Hospital

• Orthopaedic Surgery Physician in Oak Bluffs, MA
• Providers in Oak Bluffs, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.