Riversedge Wellness
NPI 1407605124ActiveOrganization· General Practice· Old Town, ME
General Practice in Old Town, Maine, registered in NPPES in May 2024. The authorized official on file is Tiffany Sanborn, Office Manager.
Overview
| NPI | 1407605124 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2024 |
| Last updated in NPPES | May 15, 2024 |
| Certified by provider | May 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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