MAINE COMPREHENSIVE PAIN MANAGEMENT PC NPI 1467928705

NPI Information

  • NPI: 1467928705
  • Provider Name: MAINE COMPREHENSIVE PAIN MANAGEMENT, PC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 20D2160499
  • Address: 400 ENTERPRISE DR STE 101
    SCARBOROUGH, ME
    ZIP 04074
  • Phone: (207) 289-6726

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NPI Details

MAINE COMPREHENSIVE PAIN MANAGEMENT, PC is a medical specialty clinic center in Scarborough, ME. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MAINE COMPREHENSIVE PAIN MANAGEMENT, PC NPI is 1467928705. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 ENTERPRISE DR STE 101
SCARBOROUGH, ME
ZIP 04074-662
Phone: (207) 289-6726
Fax: (207) 289-1219

The provider's authorized official is Terence Kernan Gray .
The authorized official title is President and has the following contact phone number (860) 944-4708.

The CLIA number assigned to this NPI record is 20D2160499 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2018 and was last updated on 9/25/2019.

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
1208VP0000XPain MedicinePain MedicineNo
2208VP0014XPain MedicineInterventional Pain MedicineNo
3261QM2500XClinic/CenterMedical SpecialtyYes

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: 11/21/2025

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