SOUTHERN MAINE GASTROENTEROLOGY LLC NPI 1487712733

NPI Information

  • NPI: 1487712733
  • Provider Name: SOUTHERN MAINE GASTROENTEROLOGY, LLC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • CLIA Number: 20D2256025
  • Address: 10 STORER ST UNIT 106
    LAFAYETTE CENTER
    KENNEBUNK, ME
    ZIP 04043
  • Phone: (207) 467-9156

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NPI Details

SOUTHERN MAINE GASTROENTEROLOGY, LLC is a gastroenterology internal medicine in Kennebunk, ME. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. SOUTHERN MAINE GASTROENTEROLOGY, LLC NPI is 1487712733. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10 STORER ST UNIT 106
LAFAYETTE CENTER
KENNEBUNK, ME
ZIP 04043
Phone: (207) 467-9156
Fax: (207) 467-9157

The provider's authorized official is John Thompson .
The authorized official title is Co Owner And Provider and has the following contact phone number (207) 467-9156.

The CLIA number assigned to this NPI record is 20D2256025 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/5/2006 and was last updated on 8/22/2020.

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
1207RG0100XInternal MedicineGastroenterologyYes
2208C00000XColon & Rectal SurgeryX

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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