WATERBORO VILLAGE PEDIATRICS LLC PA – NPI #1225018740
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

WATERBORO VILLAGE PEDIATRICS LLC PA is a provider located in EAST WATERBORO, ME. NPPES has assigned the NPI number 1225018740 to WATERBORO VILLAGE PEDIATRICS LLC PA on January 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 18 years ago on May 07, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WATERBORO VILLAGE PEDIATRICS LLC PA below.

NPI Profile for
WATERBORO VILLAGE PEDIATRICS LLC PA

NPI Number
1225018740
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WATERBORO VILLAGE PEDIATRICS LLC PA
Primary location
43 SOKOKIS TRAIL
EAST WATERBORO, ME 04030
Phone: (207) 247-6742 Fax: (207) 247-6114
Mailing address
PO BOX 1849
LEWISTON, ME 04241-1849
Phone: (207) 784-2554 Fax: (207) 777-5363
Organization Subpart
No
Authorized Official
KEASHA MARESCOT
CO OWNER PARTNER
Phone: (207) 247-6742
Updated
Identifiers

Identifiers for WATERBORO VILLAGE PEDIATRICS LLC PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDME157150000
MEDICAIDNH30213870
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.