Active NPIOrganization

Mainehealth

Internal Medicine, Gastroenterology in Portland, Maine

NPI Number1477850592
Practice location
887 Congress St, Suite 320, Portland, ME 04102
Fax
207-662-5526
Last updated
December 19, 2022

Mainehealth is a healthcare organization based in Portland, ME. Mainehealth practices in Portland, ME. The NPI Number for Mainehealth is 1477850592 and holds a License No. 37563 (ME). The current practice location address for Mainehealth is 887 Congress St, Suite 320, Portland, ME 04102 and can be reached out via phone at 207-662-5522 and via fax at 207-662-5526.

Provider Profile Details

NPI Number
1477850592
Provider Name
Mainehealth
Provider Entity Type
Organization
Address
887 Congress St, Suite 320, Portland, ME 04102
Phone Number
207-662-5522
Fax Number
207-662-5526
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
Yes
Parent Organization
Mainehealth
Authorized Official
Lugene Anthony Inzana · Associate Cfo · 207-662-3538
Other Names
Maine Medical Partners Pediatric Specialty Care (Doing Business As)
Provider Enumeration Date
February 25, 2011
Last Update Date
December 19, 2022
Certification Date
December 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
887 Congress St
Suite 320
Portland, ME 04102
State
Maine
Zip
04102
Phone Number
207-662-5522
Fax Number
207-662-5526
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
22 Bramhall St
Portland, ME 04102-3134
City
Portland
State
ME
Zip
04102-3134
Phone Number
207-662-6562

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
Taxonomy (2)
Dietitian, Registered · 133V00000X
Taxonomy (3)
Genetic Counselor, MS · 170300000X
Taxonomy (6)
Pediatrics, Pediatric Endocrinology · 2080P0205X
Taxonomy (8)
Pediatrics, Pediatric Nephrology · 2080P0210X
Taxonomy (9)
Pediatrics, Pediatric Pulmonology · 2080P0214X
License Number (10)
37563
License State (10)
ME
Taxonomy (10)
General Acute Care Hospital · 282N00000X
Taxonomy (11)
Nurse Practitioner, Family · 363LF0000X
Taxonomy (12)
Nurse Practitioner, Pediatrics · 363LP0200X
Taxonomy (13)
Internal Medicine, Gastroenterology · 207RG0100X · 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 Mainehealth?

The NPI number of Mainehealth is 1477850592. It was assigned on February 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Mainehealth?

Mainehealth is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in ME under license number 37563.

Where does Mainehealth practice?

The practice location is 887 Congress St, Suite 320, Portland, ME 04102. The office can be reached at 207-662-5522 (phone) or 207-662-5526 (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 1477850592 directly on the NPPES registry website.

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