Basic Information
| Provider Information | |||||||||
| NPI: | 1528121209 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALBRIGHT | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | THOMAS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16 HOSPITAL DR STE A | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | ME | ||||||||
| PostalCode: | 039091041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073633700 | ||||||||
| FaxNumber: | 2073637042 | ||||||||
| Practice Location | |||||||||
| Address1: | 16 HOSPITAL DRIVE | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | ME | ||||||||
| PostalCode: | 03909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073633700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/18/2006 | ||||||||
| LastUpdateDate: | 07/09/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 009832 | ME | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 6032 | NH | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 283740099 | 05 | ME | MEDICAID |