DR. MCKIM C PETERSON M. D.
NPI 1265549869
Family Medicine in Rockport, ME

Active since August 23, 2006
195 UNION ST, MIDCOAST MEDICINE, PA, ROCKPORT, ME 04856(207) 236-2169(207) 230-0413 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mckim C Peterson M. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MCKIM C PETERSON M. D. (NPI 1265549869) is an individual family medicine provider in Rockport, Maine, licensed in Maine (013075) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1265549869
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MCKIM C PETERSONCredential: M. D.
Location Address195 UNION ST, MIDCOAST MEDICINE, PARockport, ME 04856-6107
Mailing AddressPo Box 1079, Midcoast Medicine, PaRockport, ME 04856-1079 · (207) 236-2169 · Fax (207) 230-0413
Fax(207) 230-0413
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateMarch 24, 2011
NPI 1265549869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ME · 013075
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
195 UNION ST, Rockport, ME 04856

Other Identifiers 3

Medicare UPINB77206ME
Medicaid130430000ME
Medicare ID-Type UnspecifiedMM6528ME

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
195 UNION ST
ROCKPORT, ME 04856
Psychiatry & Neurology (Psychiatry)
195 UNION ST
ROCKPORT, ME 04856
Dermatology (MOHS-Micrographic Surgery)
195 UNION ST
ROCKPORT, ME 04856
Nurse Practitioner (Family)
195 UNION ST
ROCKPORT, ME 04856
Dermatology (MOHS-Micrographic Surgery)
195 UNION ST
ROCKPORT, ME 04856
Physician Assistant
195 UNION ST
ROCKPORT, ME 04856

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckim Peterson's NPI number?

The NPI number for Mckim Peterson is 1265549869. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Mckim Peterson located?

Mckim Peterson practices at 195 Union St Midcoast Medicine, PA, Rockport, ME 04856. The listed phone number is (207) 236-2169.

What is Mckim Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mckim Peterson was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.