KENNEBEC INTERNAL MEDICINE ASSOCIATES, P.A.
NPI 1811108699
Internal Medicine in Augusta, ME

NPI Status: Active since May 24, 2007

Contact Information

9 GLENRIDGE DR
AUGUSTA, ME
ZIP 04330
Phone: (207) 623-8434

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  • Organization
  • Internal Medicine
  • CLIA Number: 20D0089175
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-15-2025

About KENNEBEC INTERNAL MEDICINE ASSOCIATES, P.A.

This page provides the complete NPI Profile along with additional information for Kennebec Internal Medicine Associates, P.a., an internist established in Augusta, Maine operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1811108699 assigned on May 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 5 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 authorized official of this NPI record is Kevin Kane (M.d.)

NPI
1811108699
Provider Name
KENNEBEC INTERNAL MEDICINE ASSOCIATES, P.A.
Entity Type
Organization
Location Address
9 GLENRIDGE DR AUGUSTA, ME 04330
Location Phone
(207) 623-8434
Mailing Address
9 GLENRIDGE DR AUGUSTA, ME 04330
Mailing Phone
(207) 623-8434
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2007
Last Update Date
08-22-2020
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An internist like Kennebec Internal Medicine Associates, P.a. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN KANE

Authorized Official Title
M.D.
Authorized Official Phone
(207) 623-8434

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
20D0089175
Facility Type
Physician Office
Certificate Effective Date
July 16, 2023
Certificate Expiration Date
July 15, 2025
Laboratory Director
DONALD STRICKLAND
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Kennebec Internal Medicine Associates, P.a. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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.
1811108699
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28212016618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 2 + 0 + 1 + 6 + 6 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1811108699 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861431819 DONALD J STRICKLAND M.D.
Individual
Internal Medicine9 GLENRIDGE DR
AUGUSTA, ME 04330
(207) 623-8434
1306885207 PETER D GUZZETTI D.O.
Individual
Internal Medicine9 GLENRIDGE DR
AUGUSTA, ME 04330
(207) 623-8434
1730122755 KEVIN KANE M.D.
Individual
Internal Medicine9 GLENRIDGE DR
AUGUSTA, ME 04330
(207) 623-8434
1285677211 DONALD D SMITH M.D.
Individual
Internal Medicine9 GLENRIDGE DR
AUGUSTA, ME 04330
(207) 623-8434
1184762395 MICHAEL RICE PA-C
Individual
Physician Assistant (Medical)9 GLENRIDGE DR
AUGUSTA, ME 04330
(207) 623-8434
1073943635 ELIZABETH PRITCHARD
Individual
Physician Assistant9 GLENRIDGE DR KENNEBEC INTERNAL MEDICINE ASSOC. PA
AUGUSTA, ME 04330
(207) 623-8434

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811108699, enumerated in the NPI registry as an "organization" on May 24, 2007

The provider is located at 9 Glenridge Dr Augusta, Me 04330 and the phone number is (207) 623-8434

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider's CLIA number is 20D0089175 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on May 24, 2007. 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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