NPIMap

Individual provider Active NPI

Lisa Marie Dries, DO

  • Gynecology Physician
  • Kennebunk, ME
National Provider Identifier
1992998553
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D02054 Issued in ME
Practice address
50 Portland Rd Ste 4
Kennebunk, ME 04043-6789
Phone
(207) 502-3583
NPI assigned
Aug 27, 2007
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD2054 ME
Gynecology Physician 207VG0400X D02054 ME Primary
General Practice Physician 208D00000X DO2054 ME

Addresses

Primary practice location

50 Portland Rd Ste 4
Kennebunk, ME 04043-6789

Mailing address

PO Box 589
Kennebunk, ME 04043-0589
Phone (207) 467-5588

Other practice location 1

9 Healthcare Dr
Suite 101
Biddeford, ME 04005-9449
Phone (207) 282-4270

Other identifiers 7

IdentifierTypeStateIssuer
1992998553OtherMEANTHEM
010179500OtherMEMEDICAL NETWORK OF MAINE
1986548OtherMECIGNA
433002499MedicaidME
AA123722OtherMEHARVARD PILGRIM HEALTHCARE
9291182OtherMEAETNA
010179500OtherFIRST HEALTH/COVENTRY NETWORK

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kennebunk Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081007000694 ME Practitioner - Obstetrics/Gynecology 1557439395 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New England, College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

50 Portland Rd
Suite 4
Kennebunk, ME 04043-6789
Phone (207) 502-7400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MD2054MEMDObstetrics & Gynecology Physician
D02054MEMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Wellness for Women PLLC Obstetrics & Gynecology CurrentSince Aug 14, 2019 Accepting new patients
York Hospital Obstetrics & Gynecology CurrentSince Nov 1, 2021 Accepting new patients
Mainehealth CurrentSince Oct 1, 2008 Accepting new patients
Mainehealth CurrentSince Oct 1, 2008 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Adrienne McAuley Physical Therapy LLC PastSince Aug 21, 2019 Accepting new patients

Locations

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

9 Healthcare Dr
Ste 101
Biddeford, ME 04005
Phone (207) 282-4270

5 Fletcher St
Kennebunk, ME 04043

50 Portland Rd
Kennebunk, ME 04043

50 Portland Rd
Ste 4
Kennebunk, ME 04043
Phone (207) 502-3583

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

112 Sanford Rd
Ste 2A
Wells, ME 04090
Phone (207) 351-3455

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

16 Hospital Dr
Ste C
York, ME 03909
Phone (207) 351-3455

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19754/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lisa.dries.1@19754.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1992998553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040430589",
            "telephone_number": "207-467-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PORTLAND RD STE 4",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436789",
            "telephone_number": "207-502-3583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Healthcare Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059449",
            "country_code": "US",
            "telephone_number": "207-282-4270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRIES",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD2054",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "ME",
            "license": "D02054",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ME",
            "license": "DO2054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1992998553",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL NETWORK OF MAINE",
            "identifier": "010179500",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1986548",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433002499",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCARE",
            "identifier": "AA123722",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9291182",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH/COVENTRY NETWORK",
            "identifier": "010179500",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kennebunk",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Kennebunk",
            "address_1": "50 Portland Rd Ste 4",
            "city": "Kennebunk",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040436789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.