Active NPIIndividual provider

Mark J Neavyn, MD

Emergency Medicine in Portland, Maine

NPI Number1578719704
Practice location
22 Bramhall St, Portland, ME 04102-3134
Fax
—
Last updated
October 29, 2021

Mark J. Neavyn is an Emergency Medicine based in Portland, ME. Mark J. Neavyn practices in Portland, ME and has the professional credentials of MD. The NPI Number for Mark J. Neavyn is 1578719704 and holds a License No. 250461 (MA). The current practice location address for Mark J. Neavyn is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 207-662-2381.

Provider Profile Details

NPI Number
1578719704
Provider Name
Mark J. Neavyn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22 Bramhall St, Portland, ME 04102-3134
Phone Number
207-662-2381
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
August 7, 2008
Last Update Date
October 29, 2021
Certification Date
October 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Bramhall St
Portland, ME 04102-3134
State
Maine
Zip
04102-3134
Phone Number
207-662-2381
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
6 Flintlock Ln
Falmouth, ME 04105-2536
City
Falmouth
State
ME
Zip
04105-2536

License Information

License Number (1)
250461
License State (1)
MA
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
052572
License State (2)
CT
Taxonomy (2)
Emergency Medicine · 207P00000X
License Number (3)
MD23807
License State (3)
ME
Taxonomy (3)
Emergency Medicine · 207P00000X · Primary
License Number (4)
MD23807
License State (4)
ME
Taxonomy (4)
Emergency Medicine, Medical Toxicology · 207PT0002X
License Number (5)
250461
License State (5)
MA
Taxonomy (5)
Emergency Medicine, Medical Toxicology · 207PT0002X

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 Mark J Neavyn, MD?

The NPI number of Mark J Neavyn, MD is 1578719704. It was assigned on August 7, 2008 and is currently active in the NPPES registry.

What is the specialty of Mark J Neavyn, MD?

Mark J Neavyn, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 250461.

Where does Mark J Neavyn, MD practice?

The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 207-662-2381 (phone).

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 1578719704 directly on the NPPES registry website.

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