Active NPIIndividual provider

John Mamon, MD

Radiology, Diagnostic Radiology in Rockport, Maine

NPI Number1669456406
Practice location
6 Glen Cove Dr, Rockport, ME 04856-4272
Fax
207-662-6388
Last updated
September 22, 2020

John Mamon is a Radiology, Diagnostic Radiology based in Rockport, ME. John Mamon practices in Rockport, ME and has the professional credentials of MD. The NPI Number for John Mamon is 1669456406 and holds a License No. 036075457 (IL). The current practice location address for John Mamon is 6 Glen Cove Dr, Rockport, ME 04856-4272 and can be reached out via phone at 207-662-4735 and via fax at 207-662-6388.

Provider Profile Details

NPI Number
1669456406
Provider Name
John Mamon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6 Glen Cove Dr, Rockport, ME 04856-4272
Phone Number
207-662-4735
Fax Number
207-662-6388
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2005
Last Update Date
September 22, 2020
Certification Date
September 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Glen Cove Dr
Rockport, ME 04856-4272
State
Maine
Zip
04856-4272
Phone Number
207-662-4735
Fax Number
207-662-6388
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
6 Glen Cove Dr
Rockport, ME 04856-4272
City
Rockport
State
ME
Zip
04856-4272

License Information

License Number (1)
036075457
License State (1)
IL
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (2)
MD23752
License State (2)
ME
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X · 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 John Mamon, MD?

The NPI number of John Mamon, MD is 1669456406. It was assigned on December 5, 2005 and is currently active in the NPPES registry.

What is the specialty of John Mamon, MD?

John Mamon, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in IL under license number 036075457.

Where does John Mamon, MD practice?

The practice location is 6 Glen Cove Dr, Rockport, ME 04856-4272. The office can be reached at 207-662-4735 (phone) or 207-662-6388 (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 1669456406 directly on the NPPES registry website.

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