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MAINE MEDICAL PARTNERS NPI 1215269626


NPI Information

NPI: 1215269626
Provider Name: MAINE MEDICAL PARTNERS

Doing Business As: MAINE MEDICAL PARTNERS NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
92 CAMPUS DRIVE
2ND FLOOR
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 883-1414
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MAINE MEDICAL PARTNERS is a neurology psychiatry neurology in Scarborough, ME. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MAINE MEDICAL PARTNERS NPI is 1215269626. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Maine Medical Partners Neurology.

The provider's business location address is:

92 CAMPUS DRIVE
2ND FLOOR
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 883-1414
Fax: (207) 883-1010

The provider's authorized official is Donna Jauregui .
The authorized official title is Dir-prvdr Enrollment & Cvo, Mhmg Pa and has the following contact phone number (207) 661-5414.

The enumeration date for this NPI number is 2/10/2010 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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
22084N0600XPsychiatry & NeurologyClinical NeurophysiologyNo
32084P2900XPsychiatry & NeurologyPain MedicineNo
42084V0102XPsychiatry & NeurologyVascular NeurologyNo
52085D0003XRadiologyDiagnostic NeuroimagingNo
62471M1202XRadiologic TechnologistMagnetic Resonance ImagingNo
7363LA2200XNurse PractitionerAdult HealthNo
8363LF0000XNurse PractitionerFamilyNo
9363LP0200XNurse PractitionerPediatricsNo
102084N0400XPsychiatry & NeurologyNeurologyYes

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
130218004MEDICAIDNEW HAMPSHIRE

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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