Provider Demographics
NPI:1326228461
Name:INTERNAL MEDICINE ON THE CAPE
Entity Type:Organization
Organization Name:INTERNAL MEDICINE ON THE CAPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:GERRY
Authorized Official - Last Name:PINETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:207-799-4100
Mailing Address - Street 1:155 SPURWINK AVE
Mailing Address - Street 2:SUITE G-2
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-9604
Mailing Address - Country:US
Mailing Address - Phone:207-799-4100
Mailing Address - Fax:207-699-2884
Practice Address - Street 1:155 SPURWINK AVE
Practice Address - Street 2:SUITE G-2
Practice Address - City:CAPE ELIZABETH
Practice Address - State:ME
Practice Address - Zip Code:04107-9604
Practice Address - Country:US
Practice Address - Phone:207-799-4100
Practice Address - Fax:207-699-2884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1785207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME0179Medicare PIN