Individual
MICHAEL SOUTHWORTH
Active
Individual
MICHAEL SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
013160
ME
2086S0129X
Vascular Surgery Physician
Primary
8539
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008585
MAINE BLUE CROSS
—
01
—
0105960Y0NH01
ANTHEM BLUE CROSS
—
01
—
0123485
AETNA
—
01
—
020401332
MARTINS POINT
—
05
—
1306822481
—
ME
05
—
299000099
—
ME
05
—
30004276
—
NH
05
—
3073850
—
NH
01
—
AA7682
HARVARD PILGRIM
—
01
—
P00923460
RAILROAD MEDICARE
NH
Enumeration date
12/20/2005
Last updated
02/25/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up