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MAINE MEDICAL PARTNERS NPI 1073527388


NPI Information

NPI: 1073527388
Provider Name: MAINE MEDICAL PARTNERS

Doing Business As: MAINE CHILDRENS CANCER PROGRAM

Classification: Pediatrics - 2080P0207X
Entity Type: Organization

Specialization: Pediatric Hematology-Oncology

CLIA Number: 20D0088530

Address:
100 CAMPUS DR
UNIT 107
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 885-7565
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MAINE MEDICAL PARTNERS is a pediatric hematology-oncology pediatrics in Scarborough, ME. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. MAINE MEDICAL PARTNERS NPI is 1073527388. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Maine Childrens Cancer Program.

The provider's business location address is:

100 CAMPUS DR
UNIT 107
SCARBOROUGH, ME
ZIP 04074-692
Phone: (207) 885-7565

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 20D0088530 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/29/2006 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
11041C0700XSocial WorkerClinicalNo
2363LP0200XNurse PractitionerPediatricsNo
32080P0207XPediatricsPediatric Hematology-OncologyYes

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
1126770000MEDICAIDMAINE

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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