IndividualActive
Jacob Crothers, M.D.
NPI 1336433085 · Addiction Medicine (Preventive Medicine) Physician · Portland, ME
Provider details
- NPI number
- 1336433085
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 052724 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
222 Saint John St Ste 322
Portland, ME 04102-3059
Phone: (207) 560-3422
Street-level locationGet directions
Mailing address
222 Saint John St Ste 322
Portland, ME 04102-3059
Additional practice locations (2)
- 257 Greene StNew Haven, CT 06511-6940Phone: (111) 111-1111
- Bates Mill No. 670 Lincoln Street, 3rd FloorLewiston, ME 04240Phone: (800) 929-0926
Registry dates
- Enumerated
- 2011-05-30
- Last updated
- 2022-01-26
- Certified
- 2022-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.