KENNEBEC MEDICAL CONSULTANTS LLC
NPI 1821386343
Colon & Rectal Surgery in Waterville, ME
NPI Status: Active since July 18, 2011
Contact Information
13 RAILROAD SQ
SUITE 2
WATERVILLE, ME
ZIP 04901
Phone: (207) 877-9562
Fax: (207) 877-9560
- Organization
- Colon & Rectal Surgery
- Accepts Insurance
- CLIA Number: 20D2222637
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 06-11-2027
About KENNEBEC MEDICAL CONSULTANTS LLC
This page provides the complete NPI Profile along with additional information for Kennebec Medical Consultants Llc, a provider established in Waterville, Maine operating as a Colon & Rectal Surgery. The healthcare provider is registered in the NPI registry with number 1821386343 assigned on July 2011. The practitioner's primary taxonomy code is 208C00000X with license number 2163 (ME). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jerald E Hurdle D.o. (Owner)
- NPI
- 1821386343
- Provider Name
- KENNEBEC MEDICAL CONSULTANTS LLC
- Entity Type
- Organization
- Location Address
- 13 RAILROAD SQ SUITE 2 WATERVILLE, ME 04901
- Location Phone
- (207) 877-9562
- Location Fax
- (207) 877-9560
- Mailing Address
- PO BOX 805 WATERVILLE, ME 04903
- Mailing Phone
- (207) 877-9562
- Mailing Fax
- (207) 877-9560
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-18-2011
- Last Update Date
- 12-10-2025
- Code Navigator
Location Map
Secondary Locations
- 2239 Atlantic HWY
Lincolnville, ME 04849
(207) 877-9562
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Colon & Rectal Surgery
- Taxonomy Code
- 208C00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2163
- License State
- ME
- Taxonomy Description
- A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 2163 (ME) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 20D2222637
- Facility Type
- Practitioner Other
- Certificate Effective Date
- June 12, 2025
- Certificate Expiration Date
- June 11, 2027
- Laboratory Director
- HURDLE S. JERALD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kennebec Medical Consultants Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1821386343, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
WATERVILLE, ME 04901
WATERVILLE, ME 04901
WATERVILLE, ME 04901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821386343, enumerated as an "organization" on July 18, 2011.
The provider is located at 13 RAILROAD SQ SUITE 2 WATERVILLE, ME 04901 and the phone number is (207) 877-9562.
Colon & Rectal Surgery with taxonomy code 208C00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.