Active NPIOrganization

Southern Maine Foot And Ankle PA

Podiatrist, Foot & Ankle Surgery in Scarborough, Maine

NPI Number1417020041
Practice location
25 Plaza Dr, Suite 9, Scarborough, ME 04074-6900
Fax
207-883-0913
Last updated
November 15, 2016

Southern Maine Foot And Ankle PA is a healthcare organization based in Scarborough, ME. Southern Maine Foot And Ankle PA practices in Scarborough, ME. The NPI Number for Southern Maine Foot And Ankle PA is 1417020041 and holds a License No. POD1031 (ME). The current practice location address for Southern Maine Foot And Ankle PA is 25 Plaza Dr, Suite 9, Scarborough, ME 04074-6900 and can be reached out via phone at 207-883-0865 and via fax at 207-883-0913.

Provider Profile Details

NPI Number
1417020041
Provider Name
Southern Maine Foot And Ankle PA
Provider Entity Type
Organization
Address
25 Plaza Dr, Suite 9, Scarborough, ME 04074-6900
Phone Number
207-883-0865
Fax Number
207-883-0913
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Peter T Ocampo, DPM · President · 207-883-0865
Provider Enumeration Date
November 15, 2006
Last Update Date
November 15, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Plaza Dr
Suite 9
Scarborough, ME 04074-6900
State
Maine
Zip
04074-6900
Phone Number
207-883-0865
Fax Number
207-883-0913
Scarborough, ME 04074Get directions →

Provider Business Mailing Address Details

Address
25 Plaza Dr
Suite 9
Scarborough, ME 04074-6900
City
Scarborough
State
ME
Zip
04074-6900
Phone Number
207-883-0865
Fax Number
207-883-0913

License Information

License Number
POD1031
License State
ME
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Southern Maine Foot And Ankle PA?

The NPI number of Southern Maine Foot And Ankle PA is 1417020041. It was assigned on November 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Southern Maine Foot And Ankle PA?

Southern Maine Foot And Ankle PA is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in ME under license number POD1031.

Where does Southern Maine Foot And Ankle PA practice?

The practice location is 25 Plaza Dr, Suite 9, Scarborough, ME 04074-6900. The office can be reached at 207-883-0865 (phone) or 207-883-0913 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417020041 directly on the NPPES registry website.

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