SEBASTICOOK FAMILY DOCTORS (NPI# 1063464634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063464634 |
| Entity Type | Organization |
| Organization Name | SEBASTICOOK FAMILY DOCTORS |
| Practice Address |
118 Moosehead Trl Suite 5 Newport ME 04953-4020 |
| Practice Telephone | 2073684213 |
| Practice Fax Number | 2073553033 |
| Mailing Telephone | 2073684213 |
| Mailing Fax Number | 2073553033 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-01-26 |
| Authorized Official Name | MRS. ROBIN WINSLOW (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2073684213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MEDICARE B GROUP NUMBER | MM9313 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
| 1396026803 | Sebasticook Family Doctors | Clinic/Center | 453 Main St, Pittsfield, ME 04967-5310 | 2011-08-30 |
| 1306141502 | Sebasticook Family Doctors | Clinic/Center | 71 Elm St, Newport, ME 04953-3121 | 2011-01-19 |
| 1831426022 | Sebasticook Family Doctors | Family Medicine | 1008 W Main St, Dover Foxcroft, ME 04426-3745 | 2009-11-09 |
| 1952637985 | Sebasticook Family Doctors | Clinic/Center | 140 Chandler St, Pittsfield, ME 04967-3711 | 2009-10-27 |
| 1518293547 | Sebasticook Family Doctors | Clinic/Center | 333 Main St, Canaan, ME 04924-3407 | 2009-10-27 |
| 1811223837 | Sebasticook Family Doctors | Clinic/Center | 29 Church St, Dexter, ME 04930-1320 | 2009-10-27 |
| Street Address |
118 MOOSEHEAD TRL SUITE 5 |
| City | NEWPORT |
| State | ME |
| Zip Code | 04953-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952618738 | Kim Marie Stewart | Pediatrics | 118 Moosehead Trl, Ste 5, Newport, ME 04953-4055 | 2010-09-01 |
| 1275624702 | James Love | Physician Assistant | 118 Moosehead Trl, Suite 5, Newport, ME 04953-4020 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
| 1225432123 | Katherine Trembley | Dental Hygienist | 3 Joslyn Street, Newport, ME 04953 | 2014-10-21 |
| 1912170481 | Dianna Lynn Fleischer | Massage Therapist | 134c Main Street, Newport, ME 04953 | 2008-04-07 |
| 1326260662 | Maine School Administrative District #48 | Local Education Agency (LEA) | 182 Moosehead Trail, Newport, ME 04953 | 2007-05-03 |
| 1831229962 | Robert J Kreider | Specialist/Technologist | 266 Williams Rd., Newport, ME 04953 | 2007-03-07 |
| 1508881582 | Bay View Physical Therapy Limited Partnership | Physical Therapist | Route 7, Moosehead Trail Professional Building, Newport, ME 04953 | 2006-07-12 |
| 1356300610 | Jennifer Stihilaire | Physical Therapy Assistant | Rt 7 Moosehead Trail, Professional Bldg, Newport, ME 04953 | 2006-03-23 |
| 1760450910 | Newport Family Practice Pa | Family Medicine | 26 Main Street, Suite 2, Newport, ME 04953 | 2006-03-14 |
| 1154398089 | Ben Thomas Hieronymus Jr. | Nurse Practitioner | 26 Main St, Ste 2, Newport, ME 04953 | 2006-02-28 |
| 1730310863 | Kristina S Meadow | Social Worker | 20 High St, Newport, ME 04953 | 2009-08-06 |
| Find all providers in zip 04953 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144859802 | Virginia Revill | Family Medicine | 1586 Depaul Rd, Newport, TN 37821-6280 | 2020-04-05 |
| 1285164145 | Lesli Ashten Anderson | Family Medicine | 1200 Mclain St Ste B, Newport, AR 72112-3550 | 2017-06-14 |
| 1346552148 | Virgincita Fuentes Rodriguez | Family Medicine | 2000 Mclain St Ste B, Newport, AR 72112-3661 | 2010-07-08 |
| 1336379569 | Anna Hehl-bisson | Family Medicine | 3132 Newport Rd, North Park Plaza, Newport, MI 48166-6100 | 2009-07-22 |
| 1891935151 | Oakwood Ambulatory, LLC | Family Medicine | 3132 Newport, Suite 107, Newport, MI 48166 | 2009-02-26 |
| 1518081520 | Rachel Beth Disanto | Family Medicine | 81 Medical Village Dr Ste 1, Family Practice of Newport, Newport, VT 05855-9897 | 2007-03-16 |
| 1891834719 | Safe Harbour Family Care | Family Medicine | 129 Chatham St, Newport, NC 28570 | 2007-02-06 |
| 1366515249 | Thomas Ae Moseley | Family Medicine | 121 Medical Village Drive, Newport, VT 05855 | 2006-11-16 |
| 1871688499 | Denise Aileen Niemira | Family Medicine | 5452 U.S. Rt. 5, Ste. D, Newport, VT 05855 | 2006-10-03 |
| 1790885838 | Allegra L Shumway | Family Medicine | 79 Coventry St, Newport, VT 05855-2206 | 2006-09-25 |
| Find all providers in NEWPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.