Active NPIIndividual provider

Dr. John C Southall, MD

Emergency Medicine in Blue Hill, Maine

NPI Number1366541906
Practice location
57 Water Street, Blue Hill, ME 04614
Fax
207-374-3989
Last updated
August 2, 2013

John C Southall is an Emergency Medicine based in Blue Hill, ME. John C Southall practices in Blue Hill, ME and has the professional credentials of MD. The NPI Number for John C Southall is 1366541906 and holds a License No. MD15937 (ME). The current practice location address for John C Southall is 57 Water Street, Blue Hill, ME 04614 and can be reached out via phone at 207-374-3473 and via fax at 207-374-3989.

Provider Profile Details

NPI Number
1366541906
Provider Name
John C Southall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
57 Water Street, Blue Hill, ME 04614
Phone Number
207-374-3473
Fax Number
207-374-3989
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
September 21, 2006
Last Update Date
August 2, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Water Street
Blue Hill, ME 04614
State
Maine
Zip
04614
Phone Number
207-374-3473
Fax Number
207-374-3989
Blue Hill, ME 04614Get directions →

Provider Business Mailing Address Details

Address
57 Water Street
Blue Hill, ME 04614
City
Blue Hill
State
ME
Zip
04614
Phone Number
207-374-3473
Fax Number
207-374-3989

License Information

License Number
MD15937
License State
ME
Taxonomy
Emergency Medicine · 207P00000X · 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. John C Southall, MD?

The NPI number of Dr. John C Southall, MD is 1366541906. It was assigned on September 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John C Southall, MD?

Dr. John C Southall, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in ME under license number MD15937.

Where does Dr. John C Southall, MD practice?

The practice location is 57 Water Street, Blue Hill, ME 04614. The office can be reached at 207-374-3473 (phone) or 207-374-3989 (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 1366541906 directly on the NPPES registry website.

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