KENNEBEC PEDIATRICS
NPI 1285690263
Pediatrics in Augusta, ME
NPI Status: Active since April 26, 2006
Contact Information
263 WATER ST
AUGUSTA, ME
ZIP 04330
Phone: (207) 623-2977
Fax: (207) 626-9374
- Organization
- Pediatrics
- CLIA Number: 20D0675001
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-09-2027
About KENNEBEC PEDIATRICS
This page provides the complete NPI Profile along with additional information for Kennebec Pediatrics, a pediatrician established in Augusta, Maine operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1285690263 assigned on April 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Kennebec Pediatrics. The authorized official of this NPI record is Barbara A Crowley Md (President, Mgha)
- NPI
- 1285690263
- Provider Legal Name
- MAINEGENERAL HEALTH ASSOCIATES
- Other Organization Name
- KENNEBEC PEDIATRICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 263 WATER ST AUGUSTA, ME 04330
- Location Phone
- (207) 623-2977
- Location Fax
- (207) 626-9374
- Mailing Address
- 150 DRESDEN AVE GARDINER, ME 04345
- Mailing Phone
- (207) 621-9337
- Mailing Fax
- (207) 626-9374
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-26-2006
- Last Update Date
- 10-04-2007
- Code Navigator
A pediatrician like Kennebec Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 2 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| MM8569 | MEDICARE PIN (08) | ME |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 20D0675001
- Facility Type
- Physician Office
- Certificate Effective Date
- January 10, 2025
- Certificate Expiration Date
- January 09, 2027
- Laboratory Director
- LARA WALSH
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Kennebec Pediatrics in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 9 | 0 | 2 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 9 | 0 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 9 + 0 + 2 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1285690263 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437123197 | DR. BARBARA A CROWLEY M.D. Individual | Pediatrics | 263 WATER ST AUGUSTA, ME 04330 (207) 623-2977 |
| 1508832049 | MARTHA C SOULE PA-C Individual | Physician Assistant | 263 WATER ST AUGUSTA, ME 04330 (207) 623-2977 |
| 1043537178 | CHILD DEVELOPMENT SERVICES Organization | Early Intervention Provider Agency | 263 WATER ST SUITE 500 AUGUSTA, ME 04330 (207) 623-4989 |
| 1982670410 | MARGARET R LEWIS PNP Individual | Nurse Practitioner (Pediatrics) | 263 WATER ST AUGUSTA, ME 04330 (207) 623-2977 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285690263, enumerated in the NPI registry as an "organization" on April 26, 2006
The provider is located at 263 Water St Augusta, Me 04330 and the phone number is (207) 623-2977
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 20D0675001 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on April 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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