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CASCO BAY SURGERY PA NPI 1396737656


NPI Information

NPI: 1396737656
Provider Name: CASCO BAY SURGERY, PA
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
10 ANDOVER RD
PORTLAND, ME
ZIP 04102
Phone: (207) 761-6642
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CASCO BAY SURGERY, PA is a surgery in Portland, ME. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. CASCO BAY SURGERY, PA NPI is 1396737656. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10 ANDOVER RD
PORTLAND, ME
ZIP 04102-954
Phone: (207) 761-6642
Fax: (207) 773-2603

The provider's authorized official is Cathel Ah Macleod .
The authorized official title is President and has the following contact phone number (207) 761-6642.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 5/21/2008.


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
1208600000XSurgery014327MAINENo
2208600000XSurgery013447MAINENo
3208600000XSurgery016320MAINENo
4208C00000XColon & Rectal Surgery012909MAINENo
5208C00000XColon & Rectal Surgery014665MAINENo
6208C00000XColon & Rectal Surgery015187MAINENo
7208600000XSurgeryMAINEYes

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
1303190099MEDICAIDMAINE
2G46473MEDICARE UPINMAINE
3287310099MEDICAIDMAINE
4ME0192MEDICARE PINMAINE
5302490099MEDICAIDMAINE
6E94964MEDICARE UPINMAINE
7MM6750MEDICARE PINMAINE
8MM7944MEDICARE PINMAINE
9338700099MEDICAIDMAINE
10154600000MEDICAIDMAINE
11MM2629MEDICARE PINMAINE
12MM6776MEDICARE PINMAINE
13MM8962MEDICARE PINMAINE
14E98205MEDICARE UPINMAINE
15154600099MEDICAIDMAINE
16E69120MEDICARE UPINMAINE
17H43519MEDICARE UPINMAINE
18G75219MEDICARE UPINMAINE
19251740099MEDICAIDMAINE
20MM4578MEDICARE PINMAINE

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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