MEDOMAK FAMILY MEDICINE LLC
NPI 1396848297
Family Medicine in Waldoboro, ME

Active since September 06, 2006CLIA 20D1053653 · Waiver
1034 MAIN ST, WALDOBORO, ME 04572(207) 832-5813(207) 832-3070 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 21, 2020, Mar 17, 2018, Dec 1, 2017 (3 updates tracked since 2017).

About Medomak Family Medicine Llc NPPES

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

MEDOMAK FAMILY MEDICINE LLC (NPI 1396848297) is a healthcare organization registered as a family medicine in Waldoboro, Maine and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2028, maintains a secondary practice location in Waldoboro, and lists Margaret H Webb, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1396848297
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDOMAK FAMILY MEDICINE LLC
Location Address1034 MAIN STWaldoboro, ME 04572-6037
Mailing AddressPo Box 309Waldoboro, ME 04572-0309 · (207) 832-5813 · Fax (207) 832-3070
Fax(207) 832-3070
Organization SubpartNo
Authorized OfficialMargaret H WebbMedical Director · (207) 832-5813
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMay 21, 20203 updates tracked since enumeration
✔ NPI 1396848297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1034 MAIN ST, Waldoboro, ME 04572

Secondary Practice Location 1

Location 134 Jefferson StreetWaldoboro, ME 04572 · Phone (207) 832-5813 · Fax (207) 832-3070

Other Identifiers 7

OtherE56950ME · Dr Love Upin #
OtherMM3303ME · Dr Love Ind Medicare #
Other1104827120ME · Walter Love Md Ind Npi #
Other1972503761ME · Margaret Webb Md Ind Npi
OtherE56949ME · Dr Webb Upin #
OtherE56949Dr. Webb Upin
OtherMM3296ME · Dr. Webb Ind Medicare #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medomak Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Medomak Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1972503761
1034 MAIN ST
Waldoboro, ME 04572
(207) 832-5813
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1104827120
1034 MAIN ST
Waldoboro, ME 04572
(207) 832-5813
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D1053653

Medomak Family Medicine · Waldoboro, ME
Active · expires Apr 30, 2028
CLIA Number20D1053653
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorMargaret H. Webb
Laboratory Phone(207) 832-5813
Laboratory LocationMedomak Family Medicine1034 Main Street, PO Box 309, Waldoboro, ME 04572
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medomak Family Medicine LLC's NPI number?

The NPI number for Medomak Family Medicine LLC is 1396848297. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Medomak Family Medicine LLC located?

Medomak Family Medicine LLC is located at 1034 Main St, Waldoboro, ME 04572. The listed phone number is (207) 832-5813.

What is Medomak Family Medicine LLC's specialty?

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

Is Medomak Family Medicine LLC enrolled in Medicare?

Yes. Medomak Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medomak Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Medomak Family Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medomak Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D1053653) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medomak Family Medicine LLC was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.