MAINE OTOLARYNGOLOGY SURGERY NPI 1043297179

NPI Information

  • NPI: 1043297179
  • Provider Name: MAINE OTOLARYNGOLOGY SURGERY
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Other Name: MOSA
  • Address: 116 NORTHPORT AVE
    SUITE 118
    BELFAST, ME
    ZIP 04915
  • Phone: (207) 338-4409

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NPI Details

MAINE OTOLARYNGOLOGY SURGERY is a specialist in Belfast, ME. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MAINE OTOLARYNGOLOGY SURGERY NPI is 1043297179. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mosa.

The provider's business location address is:

116 NORTHPORT AVE
SUITE 118
BELFAST, ME
ZIP 04915-095
Phone: (207) 338-4409
Fax: (207) 338-4486

The provider's authorized official is Elizabeth Anne Richter .
The authorized official title is President and has the following contact phone number (207) 338-4409.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 3/25/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist015045MAINEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CG7643MEDICARE PIN
2189920000MEDICAIDMAINE
3ME0162MEDICARE PIN

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: 3/30/2025

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