Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick S Tooth, MD

Individual provider Urology Physician · NPI 1639260847

Derrick S Tooth, MD is an Urology in Manchester, Maine. Qualified in 1991, 35 years ago. Practices with Mainegeneral Medical Center, a 556-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
35
Licensed in
ME
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1053 Western Ave
Manchester, ME 04351-3403
Phone: (207) 622-6319
Fax: (207) 622-6654
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 014663 (ME)

Record details

NPI number1639260847
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESDecember 5, 2012
Mailing address9 Pleasant Street, Suite 2, Oakland, ME 04963

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Mainegeneral Medical Center — 556 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount