Active NPIIndividual provider

Dr. Mckim C Peterson, M D

Family Medicine in Rockport, Maine

NPI Number1265549869
Practice location
195 Union St, Midcoast Medicine, PA, Rockport, ME 04856-6107
Fax
207-230-0413
Last updated
March 24, 2011

Mckim C Peterson is a Family Medicine based in Rockport, ME. Mckim C Peterson practices in Rockport, ME and has the professional credentials of M D. The NPI Number for Mckim C Peterson is 1265549869 and holds a License No. 013075 (ME). The current practice location address for Mckim C Peterson is 195 Union St, Midcoast Medicine, PA, Rockport, ME 04856-6107 and can be reached out via phone at 207-236-2169 and via fax at 207-230-0413.

Provider Profile Details

NPI Number
1265549869
Provider Name
Mckim C Peterson
Credential
M D
Provider Entity Type
Individual
Gender
Male
Address
195 Union St, Midcoast Medicine, PA, Rockport, ME 04856-6107
Phone Number
207-236-2169
Fax Number
207-230-0413
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
August 23, 2006
Last Update Date
March 24, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Union St
Midcoast Medicine, PA
Rockport, ME 04856-6107
State
Maine
Zip
04856-6107
Phone Number
207-236-2169
Fax Number
207-230-0413
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
Po Box 1079
Midcoast Medicine, PA
Rockport, ME 04856-1079
City
Rockport
State
ME
Zip
04856-1079
Phone Number
207-236-2169
Fax Number
207-230-0413

License Information

License Number
013075
License State
ME
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mckim C Peterson, M D?

The NPI number of Dr. Mckim C Peterson, M D is 1265549869. It was assigned on August 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mckim C Peterson, M D?

Dr. Mckim C Peterson, M D is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ME under license number 013075.

Where does Dr. Mckim C Peterson, M D practice?

The practice location is 195 Union St, Midcoast Medicine, PA, Rockport, ME 04856-6107. The office can be reached at 207-236-2169 (phone) or 207-230-0413 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265549869 directly on the NPPES registry website.

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