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MAINE MEDICAL PARTNERS NPI 1134144090


NPI Information

NPI: 1134144090
Provider Name: MAINE MEDICAL PARTNERS

Doing Business As: MAINE MEDICAL PARTNERS PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 20D0088063

Address:
4 SCAMMON ST
SACO, ME
ZIP 04072
Phone: (207) 282-3327
Get Directions

MAINE MEDICAL PARTNERS is a pediatrics in Saco, ME. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MAINE MEDICAL PARTNERS NPI is 1134144090. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Maine Medical Partners Pediatrics.

The provider's business location address is:

4 SCAMMON ST
SACO, ME
ZIP 04072-121
Phone: (207) 282-3327

The provider's authorized official is Stephen J Kasabian .
The authorized official title is President and has the following contact phone number (207) 661-2000.

The CLIA number assigned to this NPI record is 20D0088063 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 12/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatricsMAINENo
2208000000XPediatricsMAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130212263MEDICAIDNEW HAMPSHIRE
2119910004MEDICAIDMAINE
3119910020MEDICAIDMAINE
4119910002MEDICAIDMAINE
5119910003MEDICAIDMAINE
6119910005MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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