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DR. JOHN LLEWELLYN TOOTHAKER DPM NPI 1700831278


NPI Information

NPI: 1700831278
Provider Name: DR. JOHN LLEWELLYN TOOTHAKER, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
168 GROVE ST
NEWPORT, ME
ZIP 04953
Phone: (207) 368-5415
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DR. John Llewellyn Toothaker, DPM is a podiatrist in Newport, ME. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. John Llewellyn Toothaker, DPM NPI is 1700831278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

168 GROVE ST
NEWPORT, ME
ZIP 04953-347
Phone: (207) 368-5415
Fax: (207) 368-5415

The enumeration date for this NPI number is 5/23/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPOD141MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T31666MEDICARE UPINMAINE
2602388MEDICARE ID-TYPE UNSPECIFIEDMAINEMEDICARE PROVIDER ID
3ME0333MEDICARE ID-TYPE UNSPECIFIEDMAINEMEDICARE GROUP ID
4200340100MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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